Individual
ALIYYAH DEWJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 N COUNTY ROAD 19A, MOUNT DORA, FL 32757-5301
(352) 575-0943
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28712
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2023
Last updated
10/23/2024
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