Organization
SOUTH FAMILIA DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL SANGALANG (OWNER)
(407) 351-3213
Entity
Organization
Contact information
Practice address
12720 S ORANGE BLOSSOM TRL STE 22, ORLANDO, FL 32837-6227
(407) 351-3213
Mailing address
12720 S ORANGE BLOSSOM TRL STE 22, ORLANDO, FL 32837-6227
(407) 351-3213
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19152
IL
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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