Organization
DENTISTS OF LAKELAND, PA
Active
Other names
Dentists of Lakeland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANESH RAJAGOPALAN DDS (OWNER/DDS)
(863) 225-4585
Entity
Organization
Contact information
Practice address
3700 US HIGHWAY 98 N STE 105, LAKELAND, FL 33809-3809
(863) 225-4585
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
06/15/2022
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