Individual
DIVAKAR SHESHAGIRIRAO KARANTH HUTTINAGADDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 CENTER DR, GAINESVILLE, FL 32610-3006
(352) 273-5785
Mailing address
300 ALUMNI DR APT 242, LEXINGTON, KY 40503-1649
(415) 988-2969
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9837
KY
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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