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SANDRA BADROUS DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1912575168

Individual Registrant:
 SANDRA  BADROUS DMD
Gender: F
Sole Proprietor

Location and contact information for practice:
2501 MAYWOOD ST  EUSTIS, FL 32726-2064 US
Tel: 352-434-5605  Fax: --

Contact information for business:
2501 MAYWOOD ST  EUSTIS, FL 32726-2064 US
Tel: 352-434-5605  Fax: --

Registration Information:
NPI: 1912575168
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FLDN25976

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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