Organization
ELITE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO OLMOS D.D.S. (DENTIST)
(407) 786-5559
Entity
Organization
Contact information
Practice address
851 W STATE ROAD 436, 1021, ALTAMONTE SPRINGS, FL 32714-3000
(407) 786-5559
(407) 786-5554
Mailing address
851 W STATE ROAD 436, 1021, ALTAMONTE SPRINGS, FL 32714-3000
(407) 786-5559
(407) 786-5554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16586
FL
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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