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2511 Edgewater Dr Orlando FL 32804-4405 | |
| (407) 648-5511 | |
| (407) 648-5222 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2511 Edgewater Dr, Orlando, Florida |
| Authorized Official Name and Position | Christopher Robert Escott (ORTHODONTIST / PRESIDENT) |
| Authorized Official Contact | 4076485511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2511 Edgewater Dr Orlando FL 32804-4405 Ph: (407) 648-5511 | 2511 Edgewater Dr Orlando FL 32804-4405 Ph: (407) 648-5511 |
| NPI Number | 1922552165 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 12/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922552165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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