Individual
FAISAL ELHUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3200 SOUTH UNIVERSITY DRIVE, DAVIE, FL 33328
(954) 262-1000
Mailing address
2871 SW 79TH AVE APT 208, DAVIE, FL 33328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014455
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2012
Last updated
10/23/2012
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