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Individual

ASMA MAMSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2324 FORTUNE RD, KISSIMMEE, FL 34744-3993
(407) 348-2002
(407) 348-2009
Mailing address
2324 FORTUNE RD, KISSIMMEE, FL 34744-3993
(407) 348-2002
(407) 348-2009

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16387
FL

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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