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Organization
K A DENTAL GROUP JUPITER, PA
Active
Organization
K A DENTAL GROUP JUPITER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUBODH P NAIR (MANAGER)
(215) 390-6847
Entity
Organization
Contact information
Practice address
3755 MILITARY TRL, SUITE B2, JUPITER, FL 33458-2703
(561) 743-2699
(561) 743-2639
Mailing address
3755 MILITARY TRL, SUITE B2, JUPITER, FL 33458-2703
(561) 743-2699
(561) 743-2639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19874
FL
1223G0001X
General Practice Dentistry
DN19875
FL
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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