Individual
DR. FARYAL HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6871 DANIELS PKWY STE 100, FORT MYERS, FL 33912-1510
(239) 288-0537
Mailing address
717 SW 117TH AVE, PEMBROKE PINES, FL 33025-3478
(954) 319-5872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24124
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2019
Last updated
06/18/2019
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