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Individual

KATHRYN VORWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, DDS

Contact information

Practice address
2150 HARDEN BLVD, LAKELAND, FL 33803-5917
(863) 665-8878
(863) 665-1096
Mailing address
2150 HARDEN BLVD, LAKELAND, FL 33803-5917
(863) 665-8878
(863) 665-1096

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN27498
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
ME131781
FL

Other

Enumeration date
07/01/2011
Last updated
12/14/2023
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