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1154559334
MITESH JIVAN
MOUNT DORA, FL
NPI
1154559334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN18726)
Enumeration Date
2009-06-26
Last Update Date
2011-01-11
Business Address
Dr. MITESH JIVAN D.M.D.
2230 WEST OLD HIGHWAY 441
MOUNT DORA, FL 32757-3508
Phone number: 352-383-2959
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Mailing Address
Dr. MITESH JIVAN D.M.D.
2230 WEST OLD HIGHWAY 441
MOUNT DORA, FL 32757-3508
Phone number: 352-383-2959
Copy
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