Most Relevant Information
Provider Data
| NPI Number: | 1003258427 |
| Provider Name: | GAYATHRI H SUBBARAYA DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN20309 |
Most Important Dates
| Enumeration Date: | 07/26/2013 |
| Last Updated: | 07/26/2013 |
Provider Practice Location
2960 LAKELAND HIGHLANDS RD
LAKELAND
FL
338034370
Practice Location Phone/Fax
| Phone: | 8636651545 |
| Fax: | 8636651615 |
Provider Mailing Location
2960 LAKELAND HIGHLANDS RD
LAKELAND
FL
338034370
Provider Mailing Phone/Fax
| Phone: | 8636651545 |
| Fax: | 8636651615 |