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Organization
ATM AMIN DDS LLC
Active
Organization
ATM AMIN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATM NURUL AMIN (OWNER)
(321) 724-5100
Entity
Organization
Contact information
Practice address
4620 LIPSCOMB ST NE, SUITE 2, PALM BAY, FL 32905
(321) 724-5100
(321) 724-5139
Mailing address
4620 LIPSCOMB ST NE, SUITE 2, PALM BAY, FL 32905
(321) 724-5100
(321) 724-5139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10430
FL
122300000X
Dentist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077777300
—
FL
Enumeration date
02/02/2012
Last updated
02/02/2012
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