Organization
HAVENDALE DENTAL OFF PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK VRAJLAL SHETH (PRESIDENT)
(863) 324-7401
Entity
Organization
Contact information
Practice address
7111 CYPRESS GARDEN BLVD, WINTER HAVEN, FL 33884
(863) 324-7401
(863) 324-1024
Mailing address
7111 CYPRESS GARDEN BLVD, WINTER HAVEN, FL 33884
(863) 324-7401
(863) 324-1024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
52172
CA
1223G0001X
General Practice Dentistry
Primary
DN10392
FL
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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