Organization
EAST ORANGE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICIO CHAVARRIAGA (DDS)
(407) 704-7863
Entity
Organization
Contact information
Practice address
10800 DYLAN LOREN CIR, SUITE 103, ORLANDO, FL 32825-4437
(407) 704-7863
(321) 248-0330
Mailing address
10800 DYLAN LOREN CIR, SUITE 103, ORLANDO, FL 32825-4437
(407) 704-7863
(321) 248-0330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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