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Organization
NEW IMAGE DENTISTRY OF PALM BAY ROAD, INC
Active
Organization
NEW IMAGE DENTISTRY OF PALM BAY ROAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED MUJEEB (OWNER/DENTIST)
(321) 536-0157
Entity
Organization
Contact information
Practice address
1764 PALM BAY RD NE, PALM BAY, FL 32905-2904
(321) 725-5512
(321) 725-5592
Mailing address
1764 PALM BAY RD NE, PALM BAY, FL 32905-2904
(321) 725-5512
(321) 725-5592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21355
FL
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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