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Organization
LENA HABIB DMD PA
Active
Organization
LENA HABIB DMD PA
Active
Other names
South Palm Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY HELEN S HABIB DMD (PRESIDENT)
(561) 301-8822
Entity
Organization
Contact information
Practice address
555 N CONGRESS AVE, SUITE 303, BOYNTON BEACH, FL 33426-3469
(561) 301-8822
Mailing address
555 N CONGRESS AVE, SUITE 303, BOYNTON BEACH, FL 33426-3469
(561) 301-8822
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881899631
NPI
FL
Enumeration date
08/18/2011
Last updated
08/18/2011
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