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Organization
DENTAL ASSOCIATES OF LAKE MARY, P.A
Active
Organization
DENTAL ASSOCIATES OF LAKE MARY, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALPESH MEHTA DMD (OWNER / PARTNER)
(407) 829-2123
Entity
Organization
Contact information
Practice address
1301 S INTERNATIONAL PKWY, SUITE 2041, LAKE MARY, FL 32746-1409
(407) 829-2123
Mailing address
1301 S INTERNATIONAL PKWY, SUITE 2041, LAKE MARY, FL 32746-1409
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17281
FL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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