Healthcare Provider Details
I. General information
NPI: 1851222954
Provider Name (Legal Business Name): PINKSTONE DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1765 OCOEE APOPKA RD
APOPKA FL
32703-9263
US
IV. Provider business mailing address
544 ORANGE DR APT 10
ALTAMONTE SPRINGS FL
32701-5366
US
V. Phone/Fax
- Phone: 407-335-1002
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA
EUGENIA
ARCILA TORRES
Title or Position: OWNER
Credential: DDS
Phone: 407-720-0519