Individual
EBRAHIM MAMSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10285 COVE LAKE DR, ORLANDO, FL 32836-3757
(352) 751-4446
Mailing address
10285 COVE LAKE DR, ORLANDO, FL 32836-3757
(352) 751-4446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN00107952
FL
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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