Organization
LAKE NONA ENDODONTICS PA
Active
Other names
Advanced Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MAE PERRY (FINANCIAL DIRECTOR)
(321) 204-6471
Entity
Organization
Contact information
Practice address
13571 NARCOOSSEE ROAD, ORLANDO, FL 32832
(407) 574-4271
(407) 674-2539
Mailing address
743 STIRLING CENTER PL STE 1701, LAKE MARY, FL 32746-5712
(407) 574-2539
(407) 674-2539
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
01/22/2020
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