Organization
FLORIDA PROSTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDEEP R RAWAL D.M.D. (PRESIDENT)
(321) 452-3388
Entity
Organization
Contact information
Practice address
2180 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4236
(321) 452-3388
Mailing address
2180 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4236
(321) 452-3388
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN17718
FL
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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