| Imagine Orthodontic Studio Pllc | |
|
1411 Sand Lake Rd Ste D Orlando FL 32809-7045 | |
| (833) 467-2778 | |
| Not Available |
| Full Name | Imagine Orthodontic Studio Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1411 Sand Lake Rd Ste D, Orlando, Florida |
| Authorized Official Name and Position | Michael Andrew Hess (PART OWNER) |
| Authorized Official Contact | 8139653536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Orthodontic Studio Pllc 1411 Sand Lake Rd Ste D Orlando FL 32809-7045 Ph: (813) 965-3536 | Imagine Orthodontic Studio Pllc 1411 Sand Lake Rd Ste D Orlando FL 32809-7045 Ph: (833) 467-2778 |
| NPI Number | 1578302774 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578302774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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