Lake Mary Modern Dentistry, PA
Lake Mary Modern Dentistry, PA provides Dentist services in Lake Mary, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3779 Lake Emma RdLake Mary, FL 32746
Phone: (407) 547-1359
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1053849646 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Imran Hameedi — Dds/Owner · (407) 547-1359 |
| Other names | Lake Mary Modern Dentistry |
| NPI enumerated | May 26, 2017 |
| Last updated in NPPES | April 13, 2022 |
| Certification date | April 13, 2022 |
| Mailing address | Po Box 920050, Dallas, TX 75392-0050 |
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James Ho, DMD, PA
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Harvey Kansol, DDS
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Dr. Roy Moshe, DDS
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Patricia Nino de Guzman Roach, DDS
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Maria Montserrat Nunez-Aponte, DDS
3779 Lake Emma Rd, Lake Mary, FL 32746-6156 · (407) 547-1359