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Organization

APEX DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALA ALLAN FALLAH D,M.D. (OWNER)
(352) 494-6050
Entity
Organization

Contact information

Practice address
1207 BRUCE B DOWNS BLVD, SUITE 1, WESLEY CHAPEL, FL 33543
(813) 994-4200
(813) 994-9996
Mailing address
1207 BRUCE B. DOWNS BLVD, SUITE 1, WESLEY CHAPEL, FL 33543
(813) 994-4200
(813) 994-9996

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 17085
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184628711
PERSONAL NPI
FL
Enumeration date
09/06/2008
Last updated
12/02/2008
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