Individual
DR. LAVINA JAGTIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2161 E COMMERCIAL BLVD STE 300, FORT LAUDERDALE, FL 33308-3810
(954) 687-9675
Mailing address
4620 NW 23RD TER, BOCA RATON, FL 33431-8429
(650) 339-9816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27377
FL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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