Individual
ANJELIKA MARTI BAGDASAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1514 1ST ST N, WINTER HAVEN, FL 33881-2476
(863) 292-4280
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 452-3060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21930
FL
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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