| Atm Amin Dds Llc | |
|
4620 Lipscomb St Ne Suite 2 Palm Bay FL 32905 | |
| (321) 724-5100 | |
| (321) 724-5139 |
| Full Name | Atm Amin Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 4620 Lipscomb St Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Atm Nurul Amin (OWNER) |
| Authorized Official Contact | 3217245100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atm Amin Dds Llc 4620 Lipscomb St Ne Suite 2 Palm Bay FL 32905 Ph: (321) 724-5100 | Atm Amin Dds Llc 4620 Lipscomb St Ne Suite 2 Palm Bay FL 32905 Ph: (321) 724-5100 |
| NPI Number | 1265704548 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265704548 | NPI | - | NPPES |
| 077777300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10430 (Florida) | Primary |
| 122300000X | Dentist | (* (Not Available)) | Secondary |
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