Individual
GANGA PELAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-5751
(407) 481-8638
Mailing address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-5751
(407) 481-8638
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 20490
FL
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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