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Organization

MARIANNA ZADOV, P.A

Active
Parent organization
MARIANNA ZADOV, P.A
Other names
Star Dental of Orlando
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARIANNA ZADOV, P.A
Authorized official
MARIANNA ZADOV (OWNER)
(561) 241-7656
Entity
Organization

Contact information

Practice address
7350 SANDLAKE COMMONS BLVD STE 3305, ORLANDO, FL 32819-8031
(407) 216-3763
Mailing address
1905 CLINT MOORE RD STE 200, BOCA RATON, FL 33496-2660
(561) 241-7656

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/30/2021
Last updated
08/30/2021
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