Individual
FABIOLA MARIA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
909 N CENTRAL AVE, KISSIMMEE, FL 34741-5029
(407) 933-0885
(407) 933-0520
Mailing address
909 N CENTRAL AVE, KISSIMMEE, FL 34741-5029
(407) 933-0885
(407) 933-0520
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN25777
FL
Other
Enumeration date
04/23/2019
Last updated
01/29/2025
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