Organization
MAITLAND ORTHODONTIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS A WEEKS D.D.S. (PRESIDENT)
(407) 699-1102
Entity
Organization
Contact information
Practice address
320 N MAITLAND AVE, MAITLAND, FL 32751-4772
(407) 699-1102
(407) 699-4327
Mailing address
320 N MAITLAND AVE, MAITLAND, FL 32751-4772
(407) 699-1102
(407) 699-4327
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
FL
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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