Organization
MANEESHA CHIGURUPATI DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANEESHA CHIGURUPATI DDS (DENTIST)
(804) 239-5824
Entity
Organization
Contact information
Practice address
117 KERNEYWOOD ST, LAKELAND, FL 33803-2945
(863) 687-2759
Mailing address
819 JOHN CRESSLER DR, SEFFNER, FL 33584-3919
(804) 239-5824
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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