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1417381518
KAWVEH NOFALLAH
LAKELAND, FL
NPI
1417381518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 17075)
Enumeration Date
2013-08-26
Last Update Date
2013-08-26
Business Address
Dr. KAWVEH NOFALLAH DMD
3624 HARDEN BLVD
LAKELAND, FL 33803-5938
Phone number: 863-648-5338
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Mailing Address
Dr. KAWVEH NOFALLAH DMD
3624 HARDEN BLVD
LAKELAND, FL 33803-5938
Phone number: 863-648-5338
Copy
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