| Dr A Jai Prakash Pa | |
|
214 N Spring Garden Ave Deland FL 32720-3939 | |
| (386) 734-5354 | |
| (386) 734-9993 |
| Full Name | Dr A Jai Prakash Pa |
|---|---|
| Speciality | Dentist |
| Location | 214 N Spring Garden Ave, Deland, Florida |
| Authorized Official Name and Position | Jai Prakash (OWNER) |
| Authorized Official Contact | 3867345354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr A Jai Prakash Pa 214 N Spring Garden Ave Deland FL 32720-3939 Ph: (386) 734-5354 | Dr A Jai Prakash Pa 214 N Spring Garden Ave Deland FL 32720-3939 Ph: (386) 734-5354 |
| NPI Number | 1376099788 |
|---|---|
| Provider Enumeration Date | 08/27/2016 |
| Last Update Date | 08/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376099788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Coast Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 E International Speedway Blvd Ste 1b, Deland, FL 32724 Phone: 386-943-9990 Fax: 386-943-8988 | |
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Terry C Blanks Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 South Dexter Ave, Deland, FL 32720 Phone: 386-738-2002 Fax: 386-738-9523 | |
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