Individual
GHAZWAN AL KUBAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1960 25TH AVE STE 101, VERO BEACH, FL 32960-3015
(561) 999-9650
Mailing address
964 LYNN RD SW, HUTCHINSON, MN 55350-3151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14196
MN
122300000X
Dentist
Primary
DN26294
FL
Other
Enumeration date
05/16/2019
Last updated
08/19/2021
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