SRINIVAS B GHANTA

STUART, FL
NPI1699801605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  17234)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
-- SRINIVAS B GHANTA DMD
4831 SE ANCHOR AVE
STUART, FL 34997-1905
Phone number: 772-283-0902
Mailing Address
-- SRINIVAS B GHANTA DMD
4831 SE ANCHOR AVE
STUART, FL 34997-1905
Phone number: 772-283-0902
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