Organization
DENTISTRY BY DESIGN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIN SHIKARA M.D. (OWNER)
(561) 932-0995
Entity
Organization
Contact information
Practice address
672 SW PRIMA VISTA BLVD, 202, PORT ST LUCIE, FL 34983-1820
(772) 905-2741
(772) 336-8266
Mailing address
PO BOX 69, JUPITER, FL 33468-0069
(561) 932-0995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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