Individual
DR. SHYAMALY PREMARAJ
Active
Individual
DR. SHYAMALY PREMARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRPM2605
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN31401
FL
Other
Enumeration date
07/05/2023
Last updated
08/05/2026
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