| Kissimmee Dental Associates Pa | |
|
324 Pleasant Street Kissimmee FL 34741-5732 | |
| (407) 847-2103 | |
| (407) 847-5042 |
| Full Name | Kissimmee Dental Associates Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 324 Pleasant Street, Kissimmee, Florida |
| Authorized Official Name and Position | Dorothy A Thomsen (OWNER PRESIDENT DENTIST) |
| Authorized Official Contact | 4078472103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kissimmee Dental Associates Pa 324 Pleasant Street Kissimmee FL 34741-5732 Ph: (407) 847-2103 | Kissimmee Dental Associates Pa 324 Pleasant Street Kissimmee FL 34741-5732 Ph: (407) 847-2103 |
| NPI Number | 1992823207 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 11/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992823207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12975 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | 13033 (Florida) | Secondary |
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