Imagine Orthodontic Studio

NPI #1841942489 in Pinellas Park, Florida

Provider Information

NPI Number
1841942489
Entity Type
Organization
Organization Name
Imagine Orthodontic Studio
Subpart
Yes (part of a larger organization)
Parent Organization
000000
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jan 25, 2022
Last Updated
Jan 25, 2022

Practice Location

Address
7348 US HIGHWAY 19 N
State
Florida
ZIP Code
33781-4600
Phone
(727) 865-5711

Authorized Official

Name
MARIELLA CARRENO
Title
OFFICE MANAGER
Phone
(863) 462-4463

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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