Organization
CHACON ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR CHACON DMD (OWNER)
(786) 929-6486
Entity
Organization
Contact information
Practice address
13019 W LINEBAUGH AVE, WESTCHASE, FL 33626-4507
(786) 929-6486
Mailing address
13019 W LINEBAUGH AVE, WESTCHASE, FL 33626-4507
(786) 929-6486
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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