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Organization

ORIGIN ORTHODONTICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IOANNA ULRICH DMD, MDS (OWNER/ORTHODONTIST)
(813) 955-2837
Entity
Organization

Contact information

Practice address
7800 CURLEY RD, # 101, WESLEY CHAPEL, FL 33545
(813) 544-7686
Mailing address
1053 SYLVIA LN, TAMPA, FL 33613-2005
(813) 955-2837

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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