Individual
DR. DAVID MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
914 EMMETT ST, KISSIMMEE, FL 34741-5436
(407) 846-2150
(407) 846-1960
Mailing address
914 EMMETT ST, KISSIMMEE, FL 34741-5436
(407) 846-2150
(407) 846-1960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN 17959
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 17959
FL
Other
Enumeration date
07/21/2007
Last updated
09/01/2011
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