Provider Demographics
NPI:1992980254
Name:MILLENIA FAMILY &COSMETIC DENTISTRY
Entity type:Organization
Organization Name:MILLENIA FAMILY &COSMETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ORLANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-351-9875
Mailing Address - Street 1:4192 CONROY RD STE 113
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6418
Mailing Address - Country:US
Mailing Address - Phone:407-351-9875
Mailing Address - Fax:
Practice Address - Street 1:4192 CONROY RD STE 113
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-6418
Practice Address - Country:US
Practice Address - Phone:407-351-9875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 15310261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental