| Jjk Dmd Pa | |
|
200 Seneca Trl Maitland FL 32751-4949 | |
| (321) 299-4059 | |
| Not Available |
| Full Name | Jjk Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 200 Seneca Trl, Maitland, Florida |
| Authorized Official Name and Position | Justin J Katsur (PRESIDENT) |
| Authorized Official Contact | 3212994059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jjk Dmd Pa 200 Seneca Trl Maitland FL 32751 Ph: (321) 299-4059 | Jjk Dmd Pa 200 Seneca Trl Maitland FL 32751-4949 Ph: (321) 299-4059 |
| NPI Number | 1427504141 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427504141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16372 (Florida) | Primary |
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