Aesthetic Dentistry Of Orlando
Clinic/Center, Dental in Orlando, FL. Organization (NPI-2).
NPI number1689413403
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1689413403
- Entity type
- Organization (NPI-2)
- Legal business name
- Aesthetic Dentistry Of Orlando
- Organization subpart
- No
- Enumeration date
- May 21, 2024
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Dental Facial Rejuvenation (Other Name)
Practice location
316 N Alafaya TrlOrlando, FL 32828-7000
Phone 407-720-5812 · Fax 407-720-5812
Mailing address
316 N Alafaya TrlOrlando, FL 32828-7000
Phone 407-720-5812 · Fax 407-720-5812
Authorized official
Naoko Fukushima
Doctor
4077205812
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