Organization
HETTINGER & ASSOCIATES DMD PA
Active
Other names
Creative Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL F HETTINGER DMD (DMD)
(407) 290-0290
Entity
Organization
Contact information
Practice address
1530 CITRUS MEDICAL CT, SUITE 102, OCOEE, FL 34761-4548
(407) 290-0290
(407) 447-4975
Mailing address
1530 CITRUS MEDICAL CT, SUITE 102, OCOEE, FL 34761-4548
(407) 290-0290
(407) 447-4975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073558200
—
FL
Enumeration date
10/17/2006
Last updated
05/07/2013
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