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Organization

ALTAMONTE SPRINGS DENTAL GROUP PA

Active
Other names
ALTAMONTE SPRINGS DENTAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
MINH PHAM (OWNER/DDS)
(407) 545-5985
Entity
Organization

Contact information

Practice address
1001 N STATE ROAD 434 STE 1010, ALTAMONTE SPRINGS, FL 32714-7038
(407) 545-5985
(407) 545-6616
Mailing address
PO BOX 920050, DALLAS, TX 75392-7038

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/07/2023
Last updated
06/07/2023
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