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Individual

DR. DAVID LAMAR MCINTOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
520 S MAITLAND AVE, MAITLAND, FL 32751-5674
(407) 644-8786
Mailing address
520 S MAITLAND AVE, MAITLAND, FL 32751-5674
(407) 644-8786

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN12362
FL

Other

Enumeration date
08/02/2019
Last updated
08/02/2019
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