| New Image Dentistry On Minton | |
|
5132 Minton Rd Nw Ste 1 Palm Bay FL 32907-1110 | |
| (321) 725-9595 | |
| Not Available |
| Full Name | New Image Dentistry On Minton |
|---|---|
| Speciality | Dentist |
| Location | 5132 Minton Rd Nw Ste 1, Palm Bay, Florida |
| Authorized Official Name and Position | Mohammed Mujeeb (OWNER) |
| Authorized Official Contact | 3217259595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dentistry On Minton 5132 Minton Rd Nw Ste 1 Palm Bay FL 32907-1110 Ph: (321) 725-9595 | New Image Dentistry On Minton 5132 Minton Rd Nw Ste 1 Palm Bay FL 32907-1110 Ph: (321) 725-9595 |
| NPI Number | 1063826170 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063826170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN13401 (Florida) | Primary |
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