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1083988901
LAKSHMI J IMMADI
TAMPA, FL
NPI
1083988901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN19638)
Enumeration Date
2012-02-24
Last Update Date
2015-12-31
Business Address
Dr. LAKSHMI J IMMADI D.M.D
5101 E BUSCH BLVD SUITE 13
TAMPA, FL 33617-5380
Phone number: 205-807-9311
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Mailing Address
Dr. LAKSHMI J IMMADI D.M.D
10274 POST HARVEST DR
RIVERVIEW, FL 33578-3656
Phone number: 205-807-9311
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