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Organization
THEYYAR R JAN DDS,PA
Active
Organization
THEYYAR R JAN DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEYYAR RANGARAJAN D.D.S (PRESIDENT)
(239) 594-2012
Entity
Organization
Contact information
Practice address
6901 W COLONIAL DR, SUITE 6901 HIAWASSEE PROF. BLDG, ORLANDO, FL 32818-6829
(407) 292-8767
Mailing address
1949 ISLA DE PALMA CIR, NAPLES, FL 34119-3403
(239) 594-2012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14363
FL
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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