Individual
HUDA NIWASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13245 SANCTUARY COVE DR UNIT 101, TEMPLE TERRACE, FL 33637-2208
(813) 539-7603
Mailing address
13245 SANCTUARY COVE DR UNIT 101, TEMPLE TERRACE, FL 33637-2208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27517
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2022
Last updated
09/19/2022
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