Organization
IMPLANTATION DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHAB MUSHARBASH (DMD/OWNER)
(904) 652-5119
Entity
Organization
Contact information
Practice address
1761 N UNIVERSITY DR, PLANTATION, FL 33322-4111
(954) 990-5657
(954) 990-5689
Mailing address
1761 N UNIVERSITY DR, PLANTATION, FL 33322-4111
(954) 990-5657
(954) 990-5689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
07/08/2021
Last updated
07/08/2021
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