Organization
HARVEY L KANSOL DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY LEE KANSOL DDS (PRESIDENT)
(407) 323-2300
Entity
Organization
Contact information
Practice address
3098 W LAKE MARY BLVD, LAKE MARY, FL 32746
(407) 323-2300
Mailing address
3098 W LAKE MARY BLVD, LAKE MARY, FL 32746
(407) 323-2300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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