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HARVEY KANSOL D.D.S

>> Dentist >> Dental Providers

Registrant NPI Number: 1184048225

Individual Registrant:
 HARVEY  KANSOL D.D.S
Gender: M
Sole Proprietor

Location and contact information for practice:
3098 W LAKE MARY BLVD  LAKE MARY, FL 32746-6742 US
Tel: 407-323-2300  Fax: 407-323-2301

Contact information for business:
3098 W LAKE MARY BLVD  LAKE MARY, FL 32746-6742 US
Tel: 407-323-2300  Fax: 407-323-2301

Registration Information:
NPI: 1184048225
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FL7791

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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