Champion Orthodontics | |
3311 Daniels Rd Ste 104 Winter Garden FL 34787 | |
(407) 992-9190 | |
Not Available |
Full Name | Champion Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3311 Daniels Rd, Winter Garden, Florida |
Authorized Official Name and Position | Alla Alexis Shrager (ORTHODONTIST) |
Authorized Official Contact | 4079929190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Champion Orthodontics 3311 Daniels Rd Ste 104 Winter Garden FL 34787 Ph: (407) 992-9190 | Champion Orthodontics 3311 Daniels Rd Ste 104 Winter Garden FL 34787 Ph: (407) 992-9190 |
NPI Number | 1154512515 |
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Provider Enumeration Date | 08/09/2007 |
Last Update Date | 08/09/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154512515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN 16446 (Florida) | Primary |
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