NPI | 1407344435 |
---|---|
Doing Business As | DENTISTS OF LAKELAND |
Entity Type | Organization |
Authorized Contact | GANESH RAJAGOPALAN Owner/Dds 863-225-4585 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-04-25 |
Last Update Date | 2022-06-15 |