ORANGE AVENUE DENTISTRY, INC.
Managed Care Organizations in Orlando, FL

License number
Florida DN16092
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. NABIL NAGUIB YOUSSEF JR. DMD
Title: OWNER/DENTIST
Phone: (407) 426-9933
Address
Address
2116 S. Orange Ave., Orlando, FL 32806
National Provider ID: 1215200084
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORANGE AVENUE DENTISTRY, INC

2116 S Orange Ave, Orlando, FL 32806

Industry:
Dentist's Office, Nonclassifiable Establishments
Registration:
Jun 2, 2011
State ID:
P11000052056
Business type:
Florida Profit Corporation
Secretary, Treasurers:
Nabil Njr Youssef (Secretary, President), 2116 S Orange Ave, Orlando, FL 32806 (Physical),Karolina Youssef (Secretary, Treasurer), 2116 S Orange Ave, Orlando, FL 32806 (Physical)
Agent:
Nabil Youssef,2116 S Orange Ave, Orlando, FL 32806 (Physical)
EIN:
452441756

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