Lake Mary Modern Dentistry, PA

NPI #1053849646 in Lake Mary, Florida

Provider Information

NPI Number
1053849646
Entity Type
Organization
Organization Name
Lake Mary Modern Dentistry, PA
Primary Specialty
Dentist
Enumeration Date
May 26, 2017
Last Updated
Apr 13, 2022

Practice Location

Address
3779 LAKE EMMA ROAD
State
Florida
ZIP Code
32746
Phone
(407) 547-1359

Authorized Official

Name
DR. IMRAN A. HAMEEDI, DMD
Title
DDS/OWNER
Phone
(407) 547-1359

Specialties & Taxonomy Codes

Specialty
Dentist

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