Organization
PEDIATRIC DENTISTRY OF HORIZON WEST LLC
Active
Other names
Pediatric Dentistry of Horizon West
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANY AZER DDS (OWNER)
(407) 554-4222
Entity
Organization
Contact information
Practice address
15835 SHADDOCK DR STE 100, WINTER GARDEN, FL 34787-5778
(407) 554-4222
(689) 407-4086
Mailing address
15835 SHADDOCK DR STE 100, WINTER GARDEN, FL 34787-5778
(407) 554-4222
(689) 407-4086
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
11/24/2021
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