Individual
DR. AYHAM AL MOMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
3436 S FLORIDA AVE STE 100, LAKELAND, FL 33803-4765
(863) 607-4700
Mailing address
13245 LONGACRE DR, WINDERMERE, FL 34786-6520
(689) 286-8258
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH31701
FL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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