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Organization
NEW IMAGE DENTISTRY ON MINTON
Active
Organization
NEW IMAGE DENTISTRY ON MINTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED MUJEEB (OWNER)
(321) 725-9595
Entity
Organization
Contact information
Practice address
5132 MINTON RD NW STE 1, PALM BAY, FL 32907-1110
(321) 725-9595
Mailing address
5132 MINTON RD NW STE 1, PALM BAY, FL 32907-1110
(321) 725-9595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13401
FL
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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