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Individual

DR. CARL D. BILANCIONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2828 CASA ALOMA WAY, SUITE 700, WINTER PARK, FL 32792-2270
(407) 678-4000
(407) 678-4001
Mailing address
2828 CASA ALOMA WAY, SUITE 700, WINTER PARK, FL 32792-2270
(407) 678-4000
(407) 678-4001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 9154
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
557289
UNITED CONCORDIA
FL
01
60966
BCBS
FL
Enumeration date
05/01/2007
Last updated
07/08/2007
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