| Mills Park Dental | |
|
1327 N Mills Ave Orlando FL 32803-2542 | |
| (407) 228-1353 | |
| (407) 228-1394 |
| Full Name | Mills Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1327 N Mills Ave, Orlando, Florida |
| Authorized Official Name and Position | Anne Murugasu-reid (DENTIST) |
| Authorized Official Contact | 4072281353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mills Park Dental 1327 N Mills Ave Orlando FL 32803-2542 Ph: (407) 228-1353 | Mills Park Dental 1327 N Mills Ave Orlando FL 32803-2542 Ph: (407) 228-1353 |
| NPI Number | 1356745178 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356745178 | NPI | - | NPPES |
| 003927200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN16580 (Florida) | Primary |
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