SIRIN THANASASAVAT
Dentist at Barletta Dr, Orlando, FL

License number
Florida 17989
Issued Date
Jun 18, 2007
Effective Date
Jun 18, 2007
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental
Address
Address
11787 Barletta Dr, Orlando, FL 32827
Phone
(407) 929-9709
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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SIRIN THANASASAVAT, D.M.D. ,P.A

Orlando, FL

Registration:
Nov 8, 2007
Addresses:
8010 Sunport Dr 115, Orlando, FL 32809 (Physical)
836 Bloomingdale Dr, Orlando, FL 32828
8010 Sunport Dr, Orlando, FL 32809
State ID:
P07000122036
Business type:
Florida Profit Corporation
President:
Sirin Thanasasavat (President), 11787 Barletta Dr, Orlando, FL 32827 (Physical)
Agent:
Thanasasavat, Sirin,11787 Barletta Dr, Orlando, FL 32827 (Physical)
EIN:
26-1390806

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