Organization
ALJONAIDY DENT INC
Active
Other names
Blossom Dental and Facial Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
HUDA ALJONAIDY (OWNER)
(954) 684-3432
Entity
Organization
Contact information
Practice address
900 W GRANADA BLVD STE 5, ORMOND BEACH, FL 32174-5941
(386) 947-7603
(352) 639-5688
Mailing address
900 W GRANADA BLVD STE 5, ORMOND BEACH, FL 32174-5941
(386) 947-7603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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