Organization
PEDIATRIC DENTISTRY OF WINTER PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MILLER (OWNER)
(407) 755-3136
Entity
Organization
Contact information
Practice address
2001 LEE RD STE A, WINTER PARK, FL 32789-1871
(407) 755-3136
Mailing address
325 PARK NORTH CT, WINTER PARK, FL 32789-2552
(407) 252-9539
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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