| Orlando Endodontic Specialists-east | |
|
12301 Lake Underhill Rd Ste 107 Orlando FL 32828-4508 | |
| (407) 581-9515 | |
| (407) 581-9520 |
| Full Name | Orlando Endodontic Specialists-east |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 12301 Lake Underhill Rd, Orlando, Florida |
| Authorized Official Name and Position | Susie Bobo (OFFICE MANAGER) |
| Authorized Official Contact | 4075819505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Endodontic Specialists-east 610 N Mills Ave Ste 210 Orlando FL 32803-7119 Ph: (407) 423-7667 | Orlando Endodontic Specialists-east 12301 Lake Underhill Rd Ste 107 Orlando FL 32828-4508 Ph: (407) 581-9515 |
| NPI Number | 1396060430 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 04/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396060430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN14384 (Florida) | Primary |
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