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Organization
RUSSEL HAMARNAH DMD PLLC
Active
Organization
RUSSEL HAMARNAH DMD PLLC
Active
Other names
Winter Haven Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RASSEL ELHAMARNAH DMD (OWNER)
(863) 299-1579
Entity
Organization
Contact information
Practice address
1020 5TH ST SE, WINTER HAVEN, FL 33880-4210
(863) 299-1579
(863) 299-7086
Mailing address
1020 5TH ST SE, WINTER HAVEN, FL 33880-4210
(863) 299-1579
(863) 299-7086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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