| Lake Dora Orthodontics | |
|
16821 Us Highway 441 Mount Dora FL 32757-6714 | |
| (352) 383-6166 | |
| Not Available |
| Full Name | Lake Dora Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 16821 Us Highway 441, Mount Dora, Florida |
| Authorized Official Name and Position | Christopher Escott (ORTHODONTIST / PRESIDENT) |
| Authorized Official Contact | 3523836166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Dora Orthodontics 16821 Us Highway 441 Mount Dora FL 32757-6714 Ph: (352) 383-6166 | Lake Dora Orthodontics 16821 Us Highway 441 Mount Dora FL 32757-6714 Ph: (352) 383-6166 |
| NPI Number | 1013362763 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 12/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013362763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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