Lake Mary Modern Dentistry | |
3779 Lake Emma Road Lake Mary FL 32746 | |
(407) 547-1359 | |
Not Available |
Full Name | Lake Mary Modern Dentistry |
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Speciality | Dentist |
Location | 3779 Lake Emma Road, Lake Mary, Florida |
Authorized Official Name and Position | Imran A. Hameedi (DDS/OWNER) |
Authorized Official Contact | 4075471359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Mary Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Lake Mary Modern Dentistry 3779 Lake Emma Road Lake Mary FL 32746 Ph: (407) 547-1359 |
NPI Number | 1053849646 |
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Provider Enumeration Date | 05/26/2017 |
Last Update Date | 04/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053849646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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