| Fady Fakhoury Pa | |
|
10911 Bonita Beach Rd Se Suite 105 Bonita Springs FL 34135-9053 | |
| (239) 495-9900 | |
| (239) 495-6256 |
| Full Name | Fady Fakhoury Pa |
|---|---|
| Speciality | Dentist |
| Location | 10911 Bonita Beach Rd Se, Bonita Springs, Florida |
| Authorized Official Name and Position | Fady I Fakhoury (OWNER) |
| Authorized Official Contact | 2394959900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fady Fakhoury Pa 10911 Bonita Beach Rd Se Suite 105 Bonita Springs FL 34135-9053 Ph: (239) 495-9900 | Fady Fakhoury Pa 10911 Bonita Beach Rd Se Suite 105 Bonita Springs FL 34135-9053 Ph: (239) 495-9900 |
| NPI Number | 1447616578 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447616578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN16160 (Florida) | Primary |
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