Organization
RAFIK DIB, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFIK DIB DDS, MSD, PHARMD (PERIODONTIST)
(504) 908-3711
Entity
Organization
Contact information
Practice address
3003 ENTERPRISE RD E, CLEARWATER, FL 33759-1304
(727) 799-4492
Mailing address
7124 SPANISH TRL, PENSACOLA, FL 32504-6818
(504) 908-3711
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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