Individual
FATIMA SHUAYB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12900 CORTEZ BLVD STE 201, BROOKSVILLE, FL 34613-7808
(352) 397-9689
Mailing address
17665 BELLAVISTA LOOP # 1420, LUTZ, FL 33558-5658
(352) 442-1818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28222
FL
Other
Enumeration date
08/15/2023
Last updated
09/11/2023
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