Individual provider · NPI-1
Asmakhatun Mustufabhai Kankroliya, RDH
Dental Hygienist · Kissimmee, FL
NPI number1962070888
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1962070888
- Entity type
- Individual (NPI-1)
- Name
- Asmakhatun Mustufabhai Kankroliya
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | DH28209 | FL | Yes |
Practice location
2907 Vineland RdKissimmee, FL 34746-5505
Phone 407-396-1288
Mailing address
2907 Vineland RdKissimmee, FL 34746-5505
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