Most Relevant Information
Provider Data
| NPI Number: | 1003029489 |
| Provider Name: | THEYYAR RANGARAJAN D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN 14363 |
Most Important Dates
| Enumeration Date: | 05/08/2007 |
| Last Updated: | 07/02/2019 |
Provider Practice Location
106 NW 9TH AVE
MULBERRY
FL
338602922
Practice Location Phone/Fax
| Phone: | 8634256200 |
| Fax: |
Provider Mailing Location
47 5TH ST NW
WINTER HAVEN
FL
338814672
Provider Mailing Phone/Fax
| Phone: | 8632687850 |
| Fax: |