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Organization
DENTISTS OF LAKELAND, PA
Active
Organization
DENTISTS OF LAKELAND, PA
Active
Other names
Dentists of Lakeland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANESH RAJAGOPALAN DDS (OWNER/DDS)
(863) 225-4585
Entity
Organization
Contact information
Practice address
3700 US HIGHWAY 98 N STE 105, LAKELAND, FL 33809-3809
(863) 225-4585
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
06/15/2022
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