Organization
MASTER DENTAL ASSOCIATES, LLC
Active
Parent organization
MASTER DENTAL ASSOCIATES, LLC
Other names
Master Dental & Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASTER DENTAL ASSOCIATES, LLC
Authorized official
MR. ORRETT G. KONG (GENERAL MANAGER)
(407) 720-9944
Entity
Organization
Contact information
Practice address
11140 W COLONIAL DR STE 7, OCOEE, FL 34761-3300
(407) 720-9944
Mailing address
11140 W COLONIAL DR STE 7, OCOEE, FL 34761-3300
(407) 720-9944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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