| Shuayb Dental | |
|
12900 Cortez Blvd Ste 201 Brooksville FL 34613 | |
| (352) 596-3456 | |
| (352) 596-3147 |
| Full Name | Shuayb Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12900 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Elizabeth Shuayb (BUSINESS MANAGER) |
| Authorized Official Contact | 3526780418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shuayb Dental 12900 Cortez Blvd Ste 201 Brooksville FL 34613 Ph: (352) 596-3456 | Shuayb Dental 12900 Cortez Blvd Ste 201 Brooksville FL 34613 Ph: (352) 596-3456 |
| NPI Number | 1154762177 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154762177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17388 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | DN17734 (Florida) | Secondary |
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