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Individual

DR. VISALAKSHI SHIVARAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BDS MSC DIP PROS

Contact information

Practice address
1395 CENTER DR, GAINESVILLE, FL 32610-3006
(352) 273-6921
Mailing address
658 NW 120TH TER APT 6-434, GAINESVILLE, FL 32607-0675
(352) 665-6519

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DTP669
FL

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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