Organization
SUNSHINE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADMALATHA GOTTIPATI DDS (AMBR)
(904) 521-0999
Entity
Organization
Contact information
Practice address
2921 S ORLANDO DR STE 146, SANFORD, FL 32773-4105
(407) 322-9992
Mailing address
87 CROSS RIDGE DR, PONTE VEDRA, FL 32081-8440
(904) 521-0999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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