Organization
AVALONDENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NGA K VAN D.M.D (DENTIST)
(407) 281-1119
Entity
Organization
Contact information
Practice address
12950 E COLONIAL DR STE 124, ORLANDO, FL 32826-4609
(407) 281-1119
(407) 381-3711
Mailing address
12950 E COLONIAL DR STE 124, ORLANDO, FL 32826-4609
(407) 281-1119
(407) 381-3711
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN17986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003333500
—
FL
Enumeration date
08/03/2012
Last updated
08/03/2012
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