Individual
BASSANT ESTFANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2462 ENTERPRISE RD APT 5, CLEARWATER, FL 33763-1745
(727) 417-5498
Mailing address
2462 ENTERPRISE RD APT 5, CLEARWATER, FL 33763-1745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN31728
FL
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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