Individual
DIPTI KANCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1036 DUNN AVE STE 42, JACKSONVILLE, FL 32218-6365
(904) 714-9909
(904) 746-4286
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(407) 543-8514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN29559
FL
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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