Organization
ORLANDO ENDODONTIC SPECIALISTS-EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE BOBO (OFFICE MANAGER)
(407) 581-9505
Entity
Organization
Contact information
Practice address
12301 LAKE UNDERHILL RD, STE 107, ORLANDO, FL 32828-4508
(407) 581-9515
(407) 581-9520
Mailing address
610 N MILLS AVE, STE 210, ORLANDO, FL 32803-7119
(407) 423-7667
(407) 425-8629
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN14384
FL
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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