NPI | 1053849646 |
---|---|
Doing Business As | LAKE MARY MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | IMRAN A. HAMEEDI Dds/Owner 407-547-1359 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-05-26 |
Last Update Date | 2022-04-13 |