Individual
MUYEENUL HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.D.
Contact information
Practice address
8640 E STATE ROAD 70 STE D, BRADENTON, FL 34202-3785
(941) 462-3706
Mailing address
8640 E STATE ROAD 70 STE D, BRADENTON, FL 34202-3785
(941) 462-3706
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901021130
MI
Other
Enumeration date
11/26/2013
Last updated
09/27/2016
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