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1972280543
SHYAMALY PREMARAJ
GAINESVILLE, FL
NPI
1972280543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DRPM2605)
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
Dr. SHYAMALY PREMARAJ DDS
1395 CENTER DR
GAINESVILLE, FL 32610-3006
Phone number: 352-273-5800
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Mailing Address
Dr. SHYAMALY PREMARAJ DDS
3611 SW 34TH ST APT 62
GAINESVILLE, FL 32608-2581
Phone number: 402-802-7333
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