Organization
MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS OF WINDERMERE PLLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
7682 DR PHILLIPS BLVD # 200, ORLANDO, FL 32819-5152
(407) 783-0449
Mailing address
7682 DR PHILLIPS BLVD # 200, ORLANDO, FL 32819-5152
(407) 783-0449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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