Organization
ADVANCED ESTHETIC DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS TANNER ENFINGER DMD (OWNER/DENTIST)
(407) 352-6001
Entity
Organization
Contact information
Practice address
6001 VINELAND RD STE 119, ORLANDO, FL 32819-7829
(407) 352-6001
(407) 351-6001
Mailing address
6001 VINELAND RD STE 119, ORLANDO, FL 32819-7829
(407) 352-6001
(407) 351-6001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16710
FL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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