Individual provider · Type 1 NPI

Serena Ghodasra, DMD

Pediatric Dentistry · Lakeland, FL

NPI number 1457962235 Active

Practice location

5710 US Highway 98 N
Lakeland, FL 33809-3108

Call (863) 640-2150 Map

Mailing address

411 Mirrorton Ave Unit 217
Lakeland, FL 33801-4995

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	DRP2237 (FL)
Pediatric Dentistry Primary	1223P0221X	DN25391 (FL)

Pediatric Dentistry: 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.

4 other providers at this address

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About NPI 1457962235

Serena Ghodasra, DMD's National Provider Identifier is 1457962235, issued on Aug 13, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lakeland, FL. The record was last updated on Apr 25, 2023.