| Harvey L Kansol Dds Pa | |
|
3098 W Lake Mary Blvd Lake Mary FL 32746 | |
| (407) 323-2300 | |
| Not Available |
| Full Name | Harvey L Kansol Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3098 W Lake Mary Blvd, Lake Mary, Florida |
| Authorized Official Name and Position | Harvey Lee Kansol (PRESIDENT) |
| Authorized Official Contact | 4073232300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey L Kansol Dds Pa 3098 W Lake Mary Blvd Lake Mary FL 32746 Ph: (407) 323-2300 | Harvey L Kansol Dds Pa 3098 W Lake Mary Blvd Lake Mary FL 32746 Ph: (407) 323-2300 |
| NPI Number | 1851495592 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851495592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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