MEDICARE: EAST ORLANDO DENTAL, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1023221777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST ORLANDO DENTAL, PA

Provider Business Mailing Address
First Line	:	11780 E COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-4626
Country	:	US
Telephone Number	:	407-282-2101
Fax Number	:

Provider Business Practice Location Address
First Line	:	11780 E COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-4626
Country	:	US
Telephone Number	:	407-282-2101
Fax Number	:

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	DR. GEORGE ALAN YARKO
Credential	:	D.D.S.
Telephone Number	:	407-282-2101

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	03/17/2009

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Directions to “EAST ORLANDO DENTAL, PA ” Practice Location

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