Individual
GAYATHRI H SUBBARAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2960 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4370
(863) 665-1545
(863) 665-1615
Mailing address
2960 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4370
(863) 665-1545
(863) 665-1615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20309
FL
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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