SHYAMALY PREMARAJ

ORANGE PARK, FL
NPI1972280543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL  DN31401)
Enumeration Date2023-07-05
Last Update Date2026-08-05
Business Address
Dr. SHYAMALY PREMARAJ DDS
2217 KINGSLEY AVE
ORANGE PARK, FL 32073-5115
Phone number: 904-272-1165
Mailing Address
Dr. SHYAMALY PREMARAJ DDS
3110 OAK ST APT 3
JACKSONVILLE, FL 32205-8643
Phone number: 402-802-7333
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