Organization · Type 2 NPI
Kush Dental LLC
Dental Clinic/Center · Casselberry, FL
NPI number
1811388804
Active
Practice location
1012 State Road 436
Casselberry, FL 32707-5722
Fax (407) 636-7604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 606214 (FL) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Casselberry
About NPI 1811388804
Kush Dental LLC's National Provider Identifier is 1811388804, issued on Feb 11, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Casselberry, FL. The record was last updated on Feb 11, 2015.