| Pine Dental Health, Pa | |
|
1429 N Pine Hills Rd Orlando FL 32808-4424 | |
| (407) 290-9568 | |
| (407) 290-9772 |
| Full Name | Pine Dental Health, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1429 N Pine Hills Rd, Orlando, Florida |
| Authorized Official Name and Position | Kap S Han (VICE PRESIDENT) |
| Authorized Official Contact | 4072909568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Dental Health, Pa 1429 N Pine Hills Rd Orlando FL 32808-4424 Ph: (407) 290-9568 | Pine Dental Health, Pa 1429 N Pine Hills Rd Orlando FL 32808-4424 Ph: (407) 290-9568 |
| NPI Number | 1881053965 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881053965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19149 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | DN14401 (Florida) | Secondary |
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