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Individual

DR. AMALOU VILLANUEVA LIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
7227 N US HIGHWAY 1, COCOA, FL 32927-5020
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 241-6800
(321) 241-6890

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019022168
IL
1223G0001X
General Practice Dentistry
Primary
HAD128
FL

Other

Enumeration date
05/31/2005
Last updated
01/19/2024
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