Organization
ADVANCED ENDODONTIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAIDER ALZUBAIDI (OWNER)
(734) 216-4413
Entity
Organization
Contact information
Practice address
3003 S FLORIDA AVE, #101, LAKELAND, FL 33803-4050
(863) 687-8990
(863) 682-0871
Mailing address
3003 S FLORIDA AVE, #101, LAKELAND, FL 33803-4050
(863) 687-8990
(863) 682-0871
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN16935
FL
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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