Lake Nona Endodontics Pa | |
13571 Narcoossee Road Orlando FL 32832 | |
(407) 574-4271 | |
(407) 674-2539 |
Full Name | Lake Nona Endodontics Pa |
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Speciality | Dentist - Endodontics |
Location | 13571 Narcoossee Road, Orlando, Florida |
Authorized Official Name and Position | Amber Mae Perry (FINANCIAL DIRECTOR) |
Authorized Official Contact | 3212046471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Nona Endodontics Pa 743 Stirling Center Pl Ste 1701 Lake Mary FL 32746-5712 Ph: (407) 574-2539 | Lake Nona Endodontics Pa 13571 Narcoossee Road Orlando FL 32832 Ph: (407) 574-4271 |
NPI Number | 1538628219 |
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Provider Enumeration Date | 03/13/2019 |
Last Update Date | 01/22/2020 |
Identifier | Type | State | Issuer |
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1538628219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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