Lall, Deoraj Ravi

Lall, Deoraj Ravi is an sole proprietor health care provider with primary practice located at 114 Timberlachen Cir , Lake Mary FL 32746-3395. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lall, Deoraj Ravi can be contacted via phone (407) 330-3801.

Contact Information

Primary practice address
114 Timberlachen Cir Lake Mary FL 32746-3395
Fax: (407) 330-5739
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15198 Florida

Profile Details

NPI number 1841330404
LBN Legal business name Lall, Deoraj Ravi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841330404 NPPES
Florida Other DN15198 DENTAL LICENSE NUMBER

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