Individual
SAJISH KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 993-2347
Mailing address
6375 HAWKES BLUFF AVE, DAVIE, FL 33331-3424
(954) 993-2347
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
TP689
FL
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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