Organization
FLORIDA CONCIERGE DENTAL CARE, P.A.
Active
Other names
Orlando Lifestyle Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GAGAOUDAKIS D.M.D. (PRESIDENT)
(954) 830-0030
Entity
Organization
Contact information
Practice address
6000 TURKEY LAKE RD, #109, ORLANDO, FL 32819-4200
(407) 547-6453
Mailing address
6000 TURKEY LAKE RD, #109, ORLANDO, FL 32819-4200
(407) 547-6453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17757
FL
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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