Organization
ENDODONTIC ASSOCIATES OF ORLANDO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG Y SHIN DMD (ENDODONTIST/ OWNER)
(561) 543-6782
Entity
Organization
Contact information
Practice address
2001 LEE RD STE A, WINTER PARK, FL 32789-1871
(407) 647-2131
(407) 645-5161
Mailing address
8773 TALLY HO LN, ROYAL PALM BEACH, FL 33411-4541
(561) 543-6782
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN15891
FL
Other
Enumeration date
02/09/2014
Last updated
02/09/2014
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