Imagine Smiles Pllc

NPI #1013598739 in Windermere, Florida

Provider Information

NPI Number
1013598739
Entity Type
Organization
Organization Name
Imagine Smiles Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Apr 15, 2021
Last Updated
Apr 15, 2021

Practice Location

Address
13205 REAMS RD UNIT 164
State
Florida
ZIP Code
34786
Phone
(864) 906-6179

Authorized Official

Name
THAO LATHAM, DMD
Title
OWNER
Phone
(864) 906-6179

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist - Pediatric DentistryPediatric Dentistry

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