MEDICARE: DR. ARIANI ELENA GARRIDO CASTILLO DMD

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	DN28311	FL

General Provider Information

NPI Number	:	1366120883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIANI ELENA GARRIDO CASTILLO DMD

Provider Business Mailing Address
First Line	:	12720 S ORANGE BLOSSOM TRL STE 22
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6227
Country	:	US
Telephone Number	:	407-674-6049
Fax Number	:

Provider Business Practice Location Address
First Line	:	12720 S ORANGE BLOSSOM TRL STE 22
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6227
Country	:	US
Telephone Number	:	407-674-6049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	12/09/2023

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