Individual
DR. ALFRED R MOUALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6610 N UNIVERSITY DR, SUITE #150, TAMARAC, FL 33321
(954) 722-2950
Mailing address
6610 N UNIVERSITY DR, SUITE #150, TAMARAC, FL 33321
(954) 722-2950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6231
FL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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