| Family Dental Clinic | |
|
10691 E Colonial Dr Orlando FL 32817-4470 | |
| (407) 482-8072 | |
| (407) 482-8073 |
| Full Name | Family Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 10691 E Colonial Dr, Orlando, Florida |
| Authorized Official Name and Position | Romy Neal Jaraplasan (PRESIDENT) |
| Authorized Official Contact | 4074828072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Clinic 10691 E Colonial Dr Orlando FL 32817-4470 Ph: (407) 482-8072 | Family Dental Clinic 10691 E Colonial Dr Orlando FL 32817-4470 Ph: (407) 482-8072 |
| NPI Number | 1073059036 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 01/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073059036 | NPI | - | NPPES |
| 0065530000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17990 (Florida) | Primary |
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