| Celebration Pediatric Dentistry Lake Nona | |
|
13250 Narcoossee Rd Ste 101 Orlando FL 32832-7135 | |
| (407) 566-4646 | |
| Not Available |
| Full Name | Celebration Pediatric Dentistry Lake Nona |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13250 Narcoossee Rd Ste 101, Orlando, Florida |
| Authorized Official Name and Position | Michael Gooch (OWNER) |
| Authorized Official Contact | 4075664646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebration Pediatric Dentistry Lake Nona 13250 Narcoossee Rd Ste 101 Orlando FL 32832-7135 Ph: (407) 566-4646 | Celebration Pediatric Dentistry Lake Nona 13250 Narcoossee Rd Ste 101 Orlando FL 32832-7135 Ph: (407) 566-4646 |
| NPI Number | 1902629710 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902629710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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