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Organization

PARADIGM DENTAL

Active
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Organization

PARADIGM DENTAL

Active
Other names
shuayb dental
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH SHUAYB (BUSINESS MANAGER)
(352) 678-0418
Entity
Organization

Contact information

Practice address
12900 CORTEZ BLVD, STE 201, BROOKSVILLE, FL 34613
(352) 596-3456
(352) 596-3147
Mailing address
12900 CORTEZ BLVD, STE 201, BROOKSVILLE, FL 34613
(352) 596-3456
(352) 596-3147

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17388
FL
1223G0001X
General Practice Dentistry
DN17734
FL

Other

Enumeration date
07/08/2013
Last updated
07/08/2013
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