Altamonte Mall Dental PA
NPI #1063768372 in Altamonte Springs, Florida
Provider Information
- NPI Number
- 1063768372
- Entity Type
- Organization
- Organization Name
- Altamonte Mall Dental PA
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 24, 2012
- Last Updated
- Jul 24, 2012
Practice Location
- Address
- 451 E ALTAMONTE DR STE 1279
- State
- Florida
- ZIP Code
- 32701-4617
- Phone
- (954) 846-7171
Authorized Official
- Name
- DR. ROSTISLAV KRASNOV, DDS
- Title
- OWNER
- Phone
- (954) 846-7171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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