| Dentist on Colonial Drive | |
|
10169 W Colonial Dr Ocoee FL 34761-4209 | |
| (321) 323-6790 | |
| Not Available |
| Full Name | Dentist on Colonial Drive |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10169 W Colonial Dr, Ocoee, Florida |
| Authorized Official Name and Position | Sumit Soni (DENTIST / OWNER) |
| Authorized Official Contact | 3213236790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist on Colonial Drive 10169 W Colonial Dr Ocoee FL 34761-4209 Ph: (321) 323-6790 | Dentist on Colonial Drive 10169 W Colonial Dr Ocoee FL 34761-4209 Ph: (321) 323-6790 |
| NPI Number | 1033967542 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033967542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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