| Hi-5 Children's Dentistry, Llc | |
|
1202 Cypress Glen Cir Kissimmee FL 34741-7563 | |
| (407) 810-0450 | |
| Not Available |
| Full Name | Hi-5 Children's Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1202 Cypress Glen Cir, Kissimmee, Florida |
| Authorized Official Name and Position | Miguel Tabares (PRESIDENT) |
| Authorized Official Contact | 4078100467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hi-5 Children's Dentistry, Llc 11912 Yellow Fin Trl Orlando FL 32827-7138 Ph: (407) 810-0467 | Hi-5 Children's Dentistry, Llc 1202 Cypress Glen Cir Kissimmee FL 34741-7563 Ph: (407) 810-0450 |
| NPI Number | 1609296276 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609296276 | NPI | - | NPPES |
| 21540 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN19471 (Florida) | Primary |
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