Organization
VOLUSIA ENDODONTICS-MAITLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE BOBO (OFFICE MANAGER)
(407) 581-9515
Entity
Organization
Contact information
Practice address
670 N ORLANDO AVE STE 203, MAITLAND, FL 32751-4465
(407) 581-9515
Mailing address
670 N ORLANDO AVE STE 203, MAITLAND, FL 32751-4465
(407) 581-9515
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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