Organization
TDN ORTHO LAKEWOOD RANCH PLLC
Active
Other names
Varone Orthodontics of Lakewood Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L DEMINT (CREDENTIALING COORDINATOR)
(813) 692-2224
Entity
Organization
Contact information
Practice address
6286 LAKE OSPREY DR, LAKEWOOD RANCH, FL 34240-8425
(941) 907-8898
(941) 907-2244
Mailing address
1 N DALE MABRY HWY STE 605, TAMPA, FL 33609
(813) 692-2224
(813) 692-2224
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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