Individual
AHMED DAASHOUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1679 NW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2106
(772) 224-3090
Mailing address
1850 SW ALEDO LN APT 5206, PORT SAINT LUCIE, FL 34953-4159
(646) 258-9390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27043
FL
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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