Individual
KIRAN SREEKANTAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
3727 N GOLDENROD RD STE 108, WINTER PARK, FL 32792-8611
(407) 671-0001
Mailing address
926 GREAT POND DR STE 2002, ALTAMONTE SPRINGS, FL 32714-7244
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN19908
FL
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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