Mount Dora Dental & Dentures

NPI #1033372958 in Mount Dora, Florida

Provider Information

NPI Number: 1033372958
Entity Type: Organization
Organization Name: Mount Dora Dental & Dentures
Subpart: Yes (part of a larger organization)
Parent Organization: MOUNT DORA DENTAL & DENTURES
Primary Specialty: Dentist
Enumeration Date: Jul 10, 2008
Last Updated: Feb 22, 2011

Practice Location

Address: 2781 W OLD HIGHWAY 441
Address 2: #24A
City: Mount Dora
State: Florida
ZIP Code: 32757
Phone: (352) 385-1971

Authorized Official

Name: DR. SOOK JA KIM, D.M.D
Title: OWNER
Phone: (352) 385-1971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Katie Breeze Heald, DDS	Dentist	Mount Dora	AI Deep Dive
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Tina Tuyet Tran, DMD	Dentist	Mount Dora	AI Deep Dive

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