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Individual

DR. ARCHANA SHETTIKERE SHANKARALINGAPPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
5730 LAKE UNDERHILL RD, ORLANDO, FL 32807-4366
(407) 322-8645
Mailing address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 322-8645
(407) 269-8986

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22231
MA
1223G0001X
General Practice Dentistry
DN23308
FL
1223G0001X
General Practice Dentistry
Primary
DS045144
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100303200
FL
Enumeration date
07/12/2008
Last updated
06/18/2025
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