Individual
HARVEY KANSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3098 W LAKE MARY BLVD, LAKE MARY, FL 32746-6742
(407) 323-2300
(407) 323-2301
Mailing address
3098 W LAKE MARY BLVD, LAKE MARY, FL 32746-6742
(407) 323-2300
(407) 323-2301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7791
FL
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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