Individual
MINDI WAYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4003 SANTA MARIA DR, KISSIMMEE, FL 34741-1565
(321) 443-9583
Mailing address
4003 SANTA MARIA DR, KISSIMMEE, FL 34741-1565
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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