| Volusia Endodontics-maitland | |
|
670 N Orlando Ave Ste 203 Maitland FL 32751-4465 | |
| (407) 581-9515 | |
| Not Available |
| Full Name | Volusia Endodontics-maitland |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 670 N Orlando Ave Ste 203, Maitland, Florida |
| Authorized Official Name and Position | Susie Bobo (OFFICE MANAGER) |
| Authorized Official Contact | 4075819515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Volusia Endodontics-maitland 670 N Orlando Ave Ste 203 Maitland FL 32751-4465 Ph: (407) 581-9515 | Volusia Endodontics-maitland 670 N Orlando Ave Ste 203 Maitland FL 32751-4465 Ph: (407) 581-9515 |
| NPI Number | 1154899763 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154899763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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