Organization
WEST SHORE ENDODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNY HAMOUI D.M.D. (CONTROLLING MANAGER)
(352) 606-2550
Entity
Organization
Contact information
Practice address
12228 CORTEZ BLVD, BROOKSVILLE, FL 34613-2631
(352) 606-2550
(352) 606-2549
Mailing address
12228 CORTEZ BLVD, BROOKSVILLE, FL 34613-2631
(352) 606-2550
(352) 606-2549
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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