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Organization
LUMOS DENTAL STUDIO
Active
Organization
LUMOS DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHA D. PATEL DMD (DENTIST)
(407) 497-3817
Entity
Organization
Contact information
Practice address
1701 FUTURE WAY, CELEBRATION, FL 34747-4491
(407) 497-3817
Mailing address
1701 FUTURE WAY, CELEBRATION, FL 34747-4491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/15/2023
Last updated
05/30/2024
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