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Organization
MARIAM M. HABIB, D.D.S., L.L.C.
Active
Organization
MARIAM M. HABIB, D.D.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM HABIB D.D.S. (OWNER)
(407) 290-0367
Entity
Organization
Contact information
Practice address
801 PAUL ST, ORLANDO, FL 32808-7544
(407) 290-0367
Mailing address
801 PAUL ST, ORLANDO, FL 32808-7544
(407) 290-0367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015110700
—
FL
Enumeration date
05/09/2016
Last updated
05/09/2016
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