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Dr. Serena Ghodasra, DMD
Pediatric Dentist in Lakeland, Florida
NPI 1457962235

Serena Ghodasra is a Pediatric Dentist based in Lakeland, FL and is specialized in Pediatric Dentistry. Serena Ghodasra practices in Lakeland, FL and has the professional credentials of DMD. The NPI Number for Serena Ghodasra is 1457962235 and holds a License No. DRP2237 (Florida).

The current practice location address for Serena Ghodasra is 5710 Us Highway 98 N, Lakeland, FL and can be reached out via phone at 863-640-2150.

Location: 5710 Us Highway 98 N, Lakeland, FL, 33801-4995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457962235
Provider Name
Serena Ghodasra
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
5710 Us Highway 98 N, Lakeland, FL, 33801-4995
Phone Number
863-640-2150
Fax Number
Provider Enumeration Date
08/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5710 Us Highway 98 N
City
Lakeland
State
Florida
Zip
33809-3108
Phone Number
863-640-2150
Fax Number
person
Provider Business Mailing Address Details
Address
5710 Us Highway 98 N
City
Lakeland
State
Florida
Zip
33809-3108
Phone Number
863-640-2150
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN25391 (Florida)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DRP2237 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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