Havendale Dental Off PA
NPI #1023171584 in Winter Haven, Florida
Provider Information
- NPI Number
- 1023171584
- Entity Type
- Organization
- Organization Name
- Havendale Dental Off PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7111 CYPRESS GARDEN BLVD
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33884
- Phone
- (863) 324-7401
Authorized Official
- Name
- DIPAK VRAJLAL SHETH
- Title
- PRESIDENT
- Phone
- (863) 324-7401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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