Organization
IDEAL DENTAL GROUP OF ORLANDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC L ANDERSON DDS (OWNER)
(561) 317-3717
Entity
Organization
Contact information
Practice address
275 S CHICKASAW TRL STE 2, ORLANDO, FL 32825-3505
(407) 434-0243
(407) 442-3675
Mailing address
275 S CHICKASAW TRL STE 2, ORLANDO, FL 32825-3505
(407) 434-0243
(407) 442-3675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16898
FL
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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