Organization
MUJEEB DDS,PA
Active
Parent organization
NEW IMAGE DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW IMAGE DENTISTRY
Authorized official
ALMA BALCHUCK (MANAGER)
(321) 255-1991
Entity
Organization
Contact information
Practice address
3226 LAKE WASHINGTON RD, # 16, MELBOURNE, FL 32934-7620
(321) 255-1991
(321) 752-0011
Mailing address
3226 LAKE WASHINGTON RD, # 16, MELBOURNE, FL 32934-7620
(321) 255-1991
(321) 752-0011
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
DN13401
FL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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