Individual
INGA UKOLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3830 TAMPA RD, SUITE 100, PALM HARBOR, FL 34684-5619
(727) 789-4044
(727) 781-0543
Mailing address
3830 TAMPA RD, SUITE 100, PALM HARBOR, FL 34684-5619
(727) 789-4044
(727) 781-0543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19865
FL
Other
Enumeration date
06/11/2012
Last updated
11/09/2015
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