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Individual

DR. MANEESHA R CHIGURUPATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
117 KERNEYWOOD ST, LAKELAND, FL 33803-2945
(804) 239-5824
Mailing address
117 KERNEYWOOD ST, LAKELAND, FL 33803-2945
(863) 687-2759

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25638
FL

Other

Enumeration date
07/23/2010
Last updated
04/05/2023
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