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Organization
LAKE FOREST ENDODONTICS, PA
Active
Organization
LAKE FOREST ENDODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J TEMPLE DMD (PRESIDENT)
(407) 423-7667
Entity
Organization
Contact information
Practice address
5264 W STATE ROAD 46, UNIT C4, SANFORD, FL 32771
(407) 577-3636
(407) 317-4099
Mailing address
610 N MILLS AVE, STE 210, ORLANDO, FL 32803
(407) 423-7667
(407) 425-8629
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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