Organization
IMAGINE ORTHODONTIC STUDIO PLLC
Active
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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