| Amazing Smiles Studio Orthodontics | |
|
4000 Victoria Park Dr Apt 4101 Davenport FL 33896-3200 | |
| (919) 360-0607 | |
| Not Available |
| Full Name | Amazing Smiles Studio Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4000 Victoria Park Dr Apt 4101, Davenport, Florida |
| Authorized Official Name and Position | Keisha N Alexander (PRESIDENT) |
| Authorized Official Contact | 9193600607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Smiles Studio Orthodontics 4000 Victoria Park Dr Apt 4101 Davenport FL 33896-3200 Ph: (919) 360-0607 | Amazing Smiles Studio Orthodontics 4000 Victoria Park Dr Apt 4101 Davenport FL 33896-3200 Ph: (919) 360-0607 |
| NPI Number | 1235427485 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 01/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235427485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN18362 (Florida) | Primary |
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