Provider Demographics
NPI:1689071185
Name:CATRAL, ROLANDO LUMAIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:LUMAIN
Last Name:CATRAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 EVANDER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-8141
Mailing Address - Country:US
Mailing Address - Phone:352-598-6949
Mailing Address - Fax:
Practice Address - Street 1:13925 LANDSTAR BLVD STE 110
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-5531
Practice Address - Country:US
Practice Address - Phone:407-270-0054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-26
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN216371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice