Ideal Dental Of University Pointe Pllc | |
11871 University Blvd Ste 120 Orlando FL 32817-2130 | |
(407) 982-7661 | |
(407) 543-2516 |
Full Name | Ideal Dental Of University Pointe Pllc |
---|---|
Speciality | Dentist |
Location | 11871 University Blvd Ste 120, Orlando, Florida |
Authorized Official Name and Position | Joshua Coussa (OWNER) |
Authorized Official Contact | 9723318079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ideal Dental Of University Pointe Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Of University Pointe Pllc 11871 University Blvd Ste 120 Orlando FL 32817-2130 Ph: (407) 982-7661 |
NPI Number | 1720690886 |
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Provider Enumeration Date | 08/20/2020 |
Last Update Date | 10/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720690886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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