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1669068375
JAISHIVA PA
PORT SAINT LUCIE, FL
NPI
1669068375
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Entity Type
Organization
Authorized Contact
PAYAL P CHOKSHI
Dentist/Owner
561-703-0219
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
JAISHIVA PA
466 SW PORT ST LUCIE BLVD STE 117
PORT SAINT LUCIE, FL 34953-2091
Phone number: 772-918-9034
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Mailing Address
JAISHIVA PA
466 SW PORT ST LUCIE BLVD STE 117
PORT SAINT LUCIE, FL 34953-2091
Phone number: 772-918-9034
Copy
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