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Organization
SKANDA DENTAL PA
Active
Organization
SKANDA DENTAL PA
Active
Other names
Premier Walk in Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOWMYA KUMAR DMD (PSTD)
(321) 446-3634
Entity
Organization
Contact information
Practice address
2070 US HIGHWAY 1 STE 101, ROCKLEDGE, FL 32955-3745
(321) 631-4334
Mailing address
2070 US HIGHWAY 1 STE 101, ROCKLEDGE, FL 32955-3745
(321) 631-4334
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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