| Royal Dental Llc | |
|
2335 State Ave Ste A Panama City FL 32405-4379 | |
| (850) 740-3100 | |
| (850) 640-0636 |
| Full Name | Royal Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2335 State Ave Ste A, Panama City, Florida |
| Authorized Official Name and Position | Yahia Abdulrahim (DENTIST) |
| Authorized Official Contact | 8507403100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Dental Llc 2335 State Ave Ste A Panama City FL 32405-4379 Ph: (850) 740-3100 | Royal Dental Llc 2335 State Ave Ste A Panama City FL 32405-4379 Ph: (850) 740-3100 |
| NPI Number | 1952060881 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952060881 | NPI | - | NPPES |
| 111298600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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