Organization
AFFORDABLE DENTURES - WEST MELBOURNE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAJA MOINUDDIN DDS (OWNER)
(321) 725-6570
Entity
Organization
Contact information
Practice address
1529 WEST NEW HAVEN AVE., WEST MELBOURNE, FL 32904
(321) 725-6570
Mailing address
1529 WEST NEW HAVEN AVE., WEST MELBOURNE, FL 32904
(321) 725-6570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15051
FL
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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