Individual
DR. NODESH SHYAMSUNDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.D.S
Contact information
Practice address
324 3RD AVE N, JACKSONVILLE BEACH, FL 32250-5602
(904) 246-6714
Mailing address
324 3RD AVE N, JACKSONVILLE BEACH, FL 32250-5602
(904) 246-6714
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN20907
FL
Other
Enumeration date
08/21/2014
Last updated
03/17/2018
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