Kush Dental LLC
NPI #1811388804 in Casselberry, Florida
Provider Information
- NPI Number
- 1811388804
- Entity Type
- Organization
- Organization Name
- Kush Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 11, 2015
- Last Updated
- Feb 11, 2015
Practice Location
- Address
- 1012 STATE ROAD 436
- City
- Casselberry
- State
- Florida
- ZIP Code
- 32707-5722
- Phone
- (407) 636-7602
Authorized Official
- Name
- MARK FIGARO, DMD
- Title
- DENTIST
- Phone
- (407) 636-7602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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