Individual
BITA HASSANI GHALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 6TH ST NW, WINTER HAVEN, FL 33881-2365
(863) 226-0251
(862) 226-0238
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26113
FL
Other
Enumeration date
06/25/2021
Last updated
10/26/2022
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