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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