| Fern Park Dental Corp | |
|
130 Oxford Rd Fern Park FL 32730-2115 | |
| (407) 831-1819 | |
| Not Available |
| Full Name | Fern Park Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 130 Oxford Rd, Fern Park, Florida |
| Authorized Official Name and Position | Rafael Nadal (PRESIDENT) |
| Authorized Official Contact | 4073254844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fern Park Dental Corp 130 Oxford Rd Fern Park FL 32730-2115 Ph: (407) 831-1819 | Fern Park Dental Corp 130 Oxford Rd Fern Park FL 32730-2115 Ph: (407) 831-1819 |
| NPI Number | 1932865474 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932865474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |