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Organization
NEW IMAGE DENTISTRY
Active
Organization
NEW IMAGE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED M AHMED (ASSOCIATE DENTIST)
(321) 434-4444
Entity
Organization
Contact information
Practice address
7827 N WICKHAM RD, SUITE A, MELBOURNE, FL 32940-8289
(321) 434-4444
Mailing address
7827 N WICKHAM RD, SUITE A, MELBOURNE, FL 32940-8289
(321) 434-4444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21406
FL
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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