Lumos Dental Studio
Dentist, General Practice in Celebration, FL. Organization (NPI-2).
NPI number1013608884
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1013608884
- Entity type
- Organization (NPI-2)
- Legal business name
- Lumos Dental Studio
- Organization subpart
- No
- Enumeration date
- May 15, 2023
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
1701 Future WayCelebration, FL 34747-4491
Phone 407-497-3817
Mailing address
1701 Future WayCelebration, FL 34747-4491
Authorized official
Radha D. Patel
Dentist
4074973817
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