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Individual

DR. ANJALI JAIN LUECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
100 ROYAL PALMS DR, ATLANTIC BEACH, FL 32233-3921
(904) 241-5342
(904) 241-5966
Mailing address
100 ROYAL PALMS DR, ATLANTIC BEACH, FL 32233-3921
(904) 241-5342
(042) 415-9669

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
16187
FL
1223G0001X
General Practice Dentistry
Primary
DN16187
FL

Other

Enumeration date
12/04/2006
Last updated
05/06/2025
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