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Individual

AMEL HASSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10806 US HIGHWAY 19 STE 101, PORT RICHEY, FL 34668-2563
(727) 853-6905
Mailing address
18148 CANAL POINTE ST, TAMPA, FL 33647-3311
(309) 922-5500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019029996
IL
1223G0001X
General Practice Dentistry
Primary
DN23853
FL

Other

Enumeration date
08/09/2014
Last updated
07/18/2019
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