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Individual

MOHANAD ATWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1395 CENTER DR # D1-19, GAINESVILLE, FL 32610-3006
(352) 273-6910
Mailing address
1395 CENTER DR # D1-19, GAINESVILLE, FL 32610-3006

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1450
FL

Other

Enumeration date
02/13/2018
Last updated
02/13/2018
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