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Individual

DR. HASSAN AL MAGHAZCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
7321 NW 85TH ST APT 202, TAMARAC, FL 33321-5066
(954) 993-9762
Mailing address
672 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-1820

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19177
FL

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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