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Individual

FAHRA Y DAWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1782
Mailing address
3015 W SIGNATURE DR APT 307, DAVIE, FL 33314-6458
(718) 877-5348

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DRP2236
FL

Other

Enumeration date
08/13/2020
Last updated
08/13/2020
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