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1093854168
NANJAPPA SHIVASHANKAR
JACKSONVILLE, FL
NPI
1093854168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL FL9317)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Dr. NANJAPPA SHIVASHANKAR DDS
12421 SAN JOSE BLVD STE 2A
JACKSONVILLE, FL 32223-8663
Phone number: 904-268-7552
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Mailing Address
Dr. NANJAPPA SHIVASHANKAR DDS
12421 SAN JOSE BLVD STE 2A
JACKSONVILLE, FL 32223-8663
Phone number: 904-268-7552
Copy
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