Organization
WATERFORD CHASE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENEA BIFSHA DMD (OWNER)
(407) 674-6890
Entity
Organization
Contact information
Practice address
801 WOODBURY RD, SUITE 102, ORLANDO, FL 32828-4514
(407) 674-6890
(407) 674-6891
Mailing address
801 WOODBURY RD, SUITE 102, ORLANDO, FL 32828-4514
(407) 674-6890
(407) 674-6891
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19721
FL
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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