Individual
DUSANKA ANGELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WEST BEVILLE, UNIT # 403, DAYTONA BEACH, FL 32114
(386) 253-6634
Mailing address
2502 NORTH ROCKY POINT DRIVE, SUITE 1000-CREDENTIALING, TAMPA, FL 33607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16268
FL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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