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Organization
DR A JAI PRAKASH PA
Active
Organization
DR A JAI PRAKASH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAI PRAKASH (OWNER)
(386) 734-5354
Entity
Organization
Contact information
Practice address
214 N SPRING GARDEN AVE, DELAND, FL 32720-3939
(386) 734-5354
(386) 734-9993
Mailing address
214 N SPRING GARDEN AVE, DELAND, FL 32720-3939
(386) 734-5354
(386) 734-9993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/27/2016
Last updated
08/27/2016
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