| New Image Dentisty Of Palm Bay | |
|
3590 Bayside Lakes Blvd Se Palm Bay FL 32909-6866 | |
| (321) 984-0044 | |
| (321) 984-0707 |
| Full Name | New Image Dentisty Of Palm Bay |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3590 Bayside Lakes Blvd Se, Palm Bay, Florida |
| Authorized Official Name and Position | Mohammed Mujeeb (OWNER) |
| Authorized Official Contact | 3214344444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dentisty Of Palm Bay 3590 Bayside Lakes Blvd Se Palm Bay FL 32909-6866 Ph: (321) 984-0044 | New Image Dentisty Of Palm Bay 3590 Bayside Lakes Blvd Se Palm Bay FL 32909-6866 Ph: (321) 984-0044 |
| NPI Number | 1285047506 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285047506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19771 (Florida) | Primary |
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