Individual
DR. APURWA SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 BEVILLE RD, DAYTONA BEACH, FL 32114-5646
(386) 253-6634
Mailing address
1500 BEVILLE RD, DAYTONA BEACH, FL 32114-5646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 22074
FL
Other
Enumeration date
07/20/2016
Last updated
11/11/2016
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