Ideal Dental of Lee Vista
Ideal Dental of Lee Vista is a Dentist in Orlando, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6784 Eagle Watch Dr Ste 550Orlando, FL 32822-2355
Phone: (407) 982-7996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1083203632 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Coussa — Owner · (407) 982-7996 |
| NPI enumerated | January 18, 2021 |
| Last updated in NPPES | March 22, 2022 |
| Certification date | March 22, 2022 |
| Mailing address | Po Box 840925, Dallas, TX 75284-0925 |
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