Organization
DOWNTOWN ORTHO LLC
Active
Parent organization
DOWNTOWN ORTHO LLC
Other names
Westlake Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOWNTOWN ORTHO LLC
Authorized official
DR. DEANNA PANDOLFO DMD (ORTHODONTIST)
(631) 374-5130
Entity
Organization
Contact information
Practice address
4951 SEMINOLE PRATT WHITNEY RD, SUITE #1100, WESTLAKE, FL 33470
(561) 566-7896
Mailing address
14923 PADDOCK DR, WELLINGTON, FL 33414-1018
(631) 374-5130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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