Lake Eola Dental, Inc. | |
338 N Magnolia Ave Ste C Orlando FL 32801-1639 | |
(407) 930-7007 | |
(407) 930-5410 |
Full Name | Lake Eola Dental, Inc. |
---|---|
Speciality | Dentist |
Location | 338 N Magnolia Ave Ste C, Orlando, Florida |
Authorized Official Name and Position | Hoang Ho (OWNER) |
Authorized Official Contact | 8046872817 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake Eola Dental, Inc. 338 N Magnolia Ave Ste C Orlando FL 32801-1639 Ph: (407) 930-7007 | Lake Eola Dental, Inc. 338 N Magnolia Ave Ste C Orlando FL 32801-1639 Ph: (407) 930-7007 |
NPI Number | 1770003782 |
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Provider Enumeration Date | 06/21/2017 |
Last Update Date | 08/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770003782 | NPI | - | NPPES |
1396124509 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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