Individual
HARDI SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3338 US HIGHWAY 19, HOLIDAY, FL 34691-1846
(727) 359-0371
(727) 359-0374
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(407) 543-8514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN31932
FL
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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