Individual
BAHA ABUAITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9749 COMMERCIAL WAY, WEEKI WACHEE, FL 34613-3979
(352) 600-5769
Mailing address
9749 COMMERCIAL WAY, WEEKI WACHEE, FL 34613-3979
(352) 600-5769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25102
FL
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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