Organization
SKANDA DENTAL PA
Active
Other names
Premier Walk in Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOWMYA KUMAR DMD (PSTD)
(321) 446-3634
Entity
Organization
Contact information
Practice address
2070 US HIGHWAY 1 STE 101, ROCKLEDGE, FL 32955-3745
(321) 631-4334
Mailing address
2070 US HIGHWAY 1 STE 101, ROCKLEDGE, FL 32955-3745
(321) 631-4334
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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