Organization
CENTRAL FLORIDA PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JUNG (MANGER)
(407) 647-2295
Entity
Organization
Contact information
Practice address
2295 LEE RD, WINTER PARK, FL 32789-1889
(407) 647-2295
Mailing address
2295 LEE RD, WINTER PARK, FL 32789-1889
(407) 647-2295
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
FL12549
FL
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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