Organization
ORLANDO ENDODONTIC SPECIALISTS SOUTH
Active
Parent organization
ORLANDO ENDODONTIC SPECIALISTS SOUTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORLANDO ENDODONTIC SPECIALISTS SOUTH
Authorized official
MARIE DIAZ (INSURANCE FRONT DESK)
(407) 423-7667
Entity
Organization
Contact information
Practice address
610 N MILLS AVE, 210, ORLANDO, FL 32803-7119
(407) 423-7667
Mailing address
1956 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8626
(407) 581-9500
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN14384
FL
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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