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Organization
SPRING LAKE DENTAL
Active
Organization
SPRING LAKE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHIM BHANJI DMD (OWNER)
(863) 585-3256
Entity
Organization
Contact information
Practice address
1192 HAVENDALE BLVD NW, WINTER HAVEN, FL 33881-1360
(863) 295-6555
(863) 293-0810
Mailing address
1192 HAVENDALE BLVD NW, WINTER HAVEN, FL 33881-1360
(863) 295-6555
(863) 293-0810
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0014530
FL
Other
Enumeration date
06/06/2007
Last updated
08/02/2007
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