GHAZWAN AL KUBAISI

VERO BEACH, FL
NPI1154987915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN26294)
Additional Taxonomies122300000X Dentist
(Licence: MN  D14196)
Enumeration Date2019-05-16
Last Update Date2021-08-19
Business Address
GHAZWAN AL KUBAISI
1960 25TH AVE STE 101
VERO BEACH, FL 32960-3015
Phone number: 561-999-9650
Mailing Address
GHAZWAN AL KUBAISI
964 LYNN RD SW
HUTCHINSON, MN 55350-3151
Phone number: