Individual
JOSE ANTONIO KHAWAM FRANJIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E 25TH ST, HIALEAH, FL 33013-3817
(305) 694-5400
Mailing address
1530 WEEPING WILLOW WAY, HOLLYWOOD, FL 33019-4856
(786) 397-0991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRPM1990
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2019
Last updated
09/25/2020
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