| Avalon Dental, Llc | |
|
101 Heavensgate Rd E Deland FL 32720-1100 | |
| (386) 277-2860 | |
| Not Available |
| Full Name | Avalon Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Heavensgate Rd, Deland, Florida |
| Authorized Official Name and Position | Alfredo A Pairot (PRESIDENT) |
| Authorized Official Contact | 3862772860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Dental, Llc 101 Heavensgate Rd E Deland FL 32720-1100 Ph: (386) 277-2860 | Avalon Dental, Llc 101 Heavensgate Rd E Deland FL 32720-1100 Ph: (386) 277-2860 |
| NPI Number | 1346677200 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 10/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346677200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN12941 (Florida) | Primary |
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