Individual
WATRAAT HASANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
330 N BABCOCK ST STE 102, MELBOURNE, FL 32935-7324
(321) 208-7979
Mailing address
330 N BABCOCK ST, MELBOURNE, FL 32935-7351
(321) 208-7979
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN26451
FL
Other
Enumeration date
03/29/2017
Last updated
05/13/2024
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