Downtown Ortho LLC

NPI #1003624776 in Westlake, Florida

Provider Information

NPI Number: 1003624776
Entity Type: Organization
Organization Name: Downtown Ortho LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DOWNTOWN ORTHO LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 26, 2024
Last Updated: Dec 26, 2024

Practice Location

Address: 4951 SEMINOLE PRATT WHITNEY RD
Address 2: SUITE #1100
City: Westlake
State: Florida
ZIP Code: 33470
Phone: (561) 566-7896

Authorized Official

Name: DR. DEANNA PANDOLFO, DMD
Title: ORTHODONTIST
Phone: (631) 374-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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