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Organization
LAKE VILLAGE DENTAL
Active
Organization
LAKE VILLAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAMSI KALLEPALLI DMD (DENTIST)
(352) 314-2729
Entity
Organization
Contact information
Practice address
3261 S US HIGHWAY 27 # 441E-1, FRUITLAND PARK, FL 34731-4497
(352) 314-2729
(352) 314-9889
Mailing address
3261 S US HIGHWAY 27 # 441E-1, FRUITLAND PARK, FL 34731-4497
(352) 314-2729
(352) 314-9889
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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