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Individual

MRS. ERICKA SHELLY LOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
660 EXECUTIVE PARK CT STE 1600, APOPKA, FL 32703-6080
(407) 930-4496
(321) 972-2443
Mailing address
660 EXECUTIVE PARK CT STE 1600, APOPKA, FL 32703-6080
(407) 930-4496
(407) 930-4497

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN17256
FL
1223G0001X
General Practice Dentistry
17256
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023026500
FL
05
076768900
FL
Enumeration date
04/12/2007
Last updated
07/18/2023
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