Wekiva Place, PA

NPI #1346681491 in Longwood, Florida

Provider Information

NPI Number: 1346681491
Entity Type: Organization
Organization Name: Wekiva Place, PA
Subpart: Yes (part of a larger organization)
Parent Organization: WEKIVA PLACE, PA
Primary Specialty: Dentist
Enumeration Date: Jul 17, 2013
Last Updated: Jul 17, 2013

Practice Location

Address: 686 N HUNT CLUB BLVD
Address 2: WEKIVA PLACE, SUITE 100
City: Longwood
State: Florida
ZIP Code: 32779-2218
Phone: (407) 869-7333

Authorized Official

Name: DR. MARK S. OFFENBACK, D.D.S.
Title: PRESIDENT
Phone: (407) 869-7333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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