Organization
JAGDEEP DHALL, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGDEEP DHALL DMD (DENTIST)
(724) 840-5066
Entity
Organization
Contact information
Practice address
430 WAYMONT CT, LAKE MARY, FL 32746-6745
(407) 322-1688
(407) 322-1684
Mailing address
430 WAYMONT CT, LAKE MARY, FL 32746-6745
(407) 322-1688
(407) 322-1684
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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