Organization
GEM DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYMAN ATALLAH DDS (DENTIST)
(904) 704-7547
Entity
Organization
Contact information
Practice address
1060 W STATE ROAD 434 STE 148, LONGWOOD, FL 32750-4954
(407) 960-1414
Mailing address
1060 W STATE ROAD 434 STE 148, LONGWOOD, FL 32750-4954
(407) 960-1414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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