| Fortune Dental Associates, Inc. | |
|
226 E New York Ave Deland FL 32724-5522 | |
| (386) 740-8282 | |
| Not Available |
| Full Name | Fortune Dental Associates, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 226 E New York Ave, Deland, Florida |
| Authorized Official Name and Position | Ivan Graham (VP) |
| Authorized Official Contact | 3867408282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortune Dental Associates, Inc. 226 E New York Ave Deland FL 32724-5522 Ph: () - | Fortune Dental Associates, Inc. 226 E New York Ave Deland FL 32724-5522 Ph: (386) 740-8282 |
| NPI Number | 1285789057 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285789057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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