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Organization
LAKE MARY MODERN DENTISTRY, PA
Active
Organization
LAKE MARY MODERN DENTISTRY, PA
Active
Other names
Lake Mary Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMRAN A. HAMEEDI DMD (DDS/OWNER)
(407) 547-1359
Entity
Organization
Contact information
Practice address
3779 LAKE EMMA ROAD, LAKE MARY, FL 32746
(407) 547-1359
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/26/2017
Last updated
04/13/2022
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