Individual
ABUSAD MAHMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7451 103RD ST STE 18, JACKSONVILLE, FL 32210-6789
(904) 777-4622
Mailing address
7451 103RD ST STE 18, JACKSONVILLE, FL 32210-6789
(904) 777-4622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 21858
FL
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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