Organization
FERN PARK DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL NADAL DDS (PRESIDENT)
(407) 325-4844
Entity
Organization
Contact information
Practice address
130 OXFORD RD, FERN PARK, FL 32730-2115
(407) 831-1819
Mailing address
130 OXFORD RD, FERN PARK, FL 32730-2115
(407) 831-1819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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