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WILLIAM MICHAEL INGALLS DDS

Pediatric Dentistry >> Dentist >> Dental Providers

Registrant NPI Number: 1487857439

Individual Registrant:
 WILLIAM MICHAEL INGALLS DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
245 WAYMONT CT  LAKE MARY, FL 32746-6746 US
Tel: 407-324-2090  Fax: 407-688-2612

Contact information for business:
245 WAYMONT CT  LAKE MARY, FL 32746-6746 US
Tel: 407-324-2090  Fax: 407-688-2612

Registration Information:
NPI: 1487857439
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
FL10074

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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