Organization
IMAGINE ORTHODONTIC STUDIO PLLC
Active
Other names
Imagine Orthodontic Studio Orlando
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDREW HESS (PART OWNER)
(813) 965-3536
Entity
Organization
Contact information
Practice address
1411 SAND LAKE RD STE D, ORLANDO, FL 32809-7045
(833) 467-2778
Mailing address
1411 SAND LAKE RD STE D, ORLANDO, FL 32809-7045
(813) 965-3536
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/28/2024
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