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Individual

DR. JOEL DOUGLAS WARE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
405 ALEXANDRIA BLVD, SUITE 110, OVIEDO, FL 32765-5516
(407) 366-3300
Mailing address
405 ALEXANDRIA BLVD, SUITE 110, OVIEDO, FL 32765-5516
(407) 366-3300

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN0008634
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66285
BCBS
FL
01
778407
UNITED CONCORDIA
PA
Enumeration date
04/24/2007
Last updated
07/08/2007
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