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DR. ASHIMA MADAN DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1063030930

Individual Registrant:
DR. ASHIMA  MADAN DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2938 W BAY DR STE C  BELLEAIR BLUFFS, FL 33770-2636 US
Tel: 727-584-5548  Fax: --

Contact information for business:
310 SIGNATURE CT  SAFETY HARBOR, FL 34695-5436 US
Tel: 727-418-9904  Fax: --

Registration Information:
NPI: 1063030930
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FL25153

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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