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Organization
NEW IMAGE DENTISTY OF PALM BAY
Active
Organization
NEW IMAGE DENTISTY OF PALM BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED MUJEEB (OWNER)
(321) 434-4444
Entity
Organization
Contact information
Practice address
3590 BAYSIDE LAKES BLVD SE, PALM BAY, FL 32909-6866
(321) 984-0044
(321) 984-0707
Mailing address
3590 BAYSIDE LAKES BLVD SE, PALM BAY, FL 32909-6866
(321) 984-0044
(321) 984-0707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19771
FL
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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