Individual
LEDA REGINA FERNANDES MUGAYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5785
(352) 392-3070
Mailing address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 413-2525
(312) 413-1638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DTP568
FL
1223P0221X
Pediatric Dentistry
136-000255
IL
Other
Enumeration date
03/14/2012
Last updated
07/30/2020
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