Individual
DR. HAITHAM ELJACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7650 GALL BLVD, ZEPHYRHILLS, FL 33541-4313
(813) 364-5890
Mailing address
6008 CAROLINE DR, WESLEY CHAPEL, FL 33545-4138
(618) 559-7259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021990
MI
1223G0001X
General Practice Dentistry
Primary
DN23775
FL
Other
Enumeration date
06/22/2016
Last updated
07/01/2022
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