Organization
DENTISTS OF MAITLAND, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M OVERMEYER (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
501 MAITLAND BLVD, MAITLAND, FL 32751-7214
(714) 845-8500
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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