Individual
DAKOTA ROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1986 STATE ROAD 19, TAVARES, FL 32778-4236
(352) 618-2119
Mailing address
2514 CONSERVE CIR APT 306, APOPKA, FL 32703-0080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32185
FL
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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