DERRY G AGNINI
Dentist at Jefferson Dr, Lakeland, FL

License number
Florida 16647
Issued Date
Jun 23, 2004
Effective Date
Jun 23, 2004
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental
Address
Address
1285 Jefferson Dr, Lakeland, FL 33803
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Derry Gushen Agnini D.D.S

Davenport, FL  -  Lakeland, FL

Industry:
Dentist's Office
Doing business as:
Derry G. Agnini, D.D.S., Inc
Registration:
Feb 12, 2009
Addresses:
39863 Hwy 27, Davenport, FL 33837
417 N Rd, Lakeland, FL 33809
State ID:
P09000014132
Business type:
Domestic for Profit Corporation
Directors:
Derry Gushen Agnini (Family And General Dentistry, Director),Matthew M. Agnini (Director)
Agent:
Derry Agnini

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