Individual
GAURI DIPAK MANKAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
300 NW 70TH AVE STE 109, PLANTATION, FL 33317-2360
(954) 791-1630
Mailing address
431 NW 108TH AVE, PLANTATION, FL 33324-1546
(954) 683-8056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19877
FL
Other
Enumeration date
04/26/2013
Last updated
12/12/2024
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