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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