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DR. NADINE M AL-HAMMALI D.D.S
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1174859920
Individual Registrant:DR. NADINE M AL-HAMMALI D.D.S
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
329 CYPRESS GARDENS BLVD WINTER HAVEN, FL 33880 US
Tel: 863-877-1300 Fax: 770-916-5362
Tel: 863-877-1300 Fax: 770-916-5362
Contact information for business:
650 ARBOR GLEN CIR APT 208 LAKELAND, FL 33805 US
Tel: 213-400-6882 Fax: 678-247-7829
Tel: 213-400-6882 Fax: 678-247-7829
Registration Information:
NPI: 1174859920
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | FL | DN25560 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
