Organization
CHAMPION ORTHODONTICS
Active
Organization
CHAMPION ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA ALEXIS SHRAGER DMD (ORTHODONTIST)
(407) 992-9190
Entity
Organization
Contact information
Practice address
3311 DANIELS RD, STE 104, WINTER GARDEN, FL 34787
(407) 992-9190
Mailing address
3311 DANIELS RD, STE 104, WINTER GARDEN, FL 34787
(407) 992-9190
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 16446
FL
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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