Advanced Dental Care of Longwood Pl

NPI #1407116353 in Longwood, Florida

Provider Information

NPI Number: 1407116353
Entity Type: Organization
Organization Name: Advanced Dental Care of Longwood Pl
Primary Specialty: Dentist
Enumeration Date: May 25, 2012
Last Updated: May 25, 2012

Practice Location

Address: 505 WEKIVA SPRINGS RD
Address 2: 100
City: Longwood
State: Florida
ZIP Code: 32779-6190
Phone: (407) 786-2552

Authorized Official

Name: MIKE COLE
Title: INSURANCE DIRECTOR
Phone: (727) 726-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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