Organization
BAYHILL FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARIE SHERIDAN DMD (DENTIST)
(407) 351-7083
Entity
Organization
Contact information
Practice address
6080 S APOPKA VINELAND RD, ORLANDO, FL 32819-4407
(407) 351-7083
Mailing address
6080 S APOPKA VINELAND RD, ORLANDO, FL 32819-4407
(407) 351-7083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 16070
FL
1223G0001X
General Practice Dentistry
DN 9453
FL
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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