Organization
PEDIATRIC DENTISTRY AND ORTHODONTICS OF WINDERMERE, LLC
Active
Other names
Windermere Pediatric Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUBASHIR A. CHAUDHRY D.M.D (OWNER)
(407) 270-3997
Entity
Organization
Contact information
Practice address
4769 THE GROVE DRIVE, STE 118, WINDERMERE, FL 34786
(407) 270-3997
(407) 374-5975
Mailing address
4769 THE GROVE DRIVE, STE 118, WINDERMERE, FL 34786
(407) 270-3997
(407) 374-5975
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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