Organization
BEACON WOODS FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL HAMEED KHAN D.D.S. (PRESIDENT)
(727) 364-5697
Entity
Organization
Contact information
Practice address
12036 COBBLESTONE DR, HUDSON, FL 34667-2413
(727) 862-7664
Mailing address
12036 COBBLESTONE DR, HUDSON, FL 34667-2413
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9928
FL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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