Individual
MOUNIKA FALEMBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13127 KINGS LAKE DR UNIT 101, GIBSONTON, FL 33534-3958
(813) 677-3047
(813) 284-7959
Mailing address
6815 SCENIC DR, APOLLO BEACH, FL 33572-1543
(813) 408-4634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18289
FL
1223P0221X
Pediatric Dentistry
Primary
18289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007161100
—
FL
01
—
1144472713
DENTAQUEST
FL
05
—
2188062
—
TX
01
—
9309
MCNA
FL
Enumeration date
10/15/2008
Last updated
06/30/2020
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