KHALID HASSAN MUTAWALLI

DAVIE, FL
NPI1750754818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: FL  DN 20908)
Enumeration Date2015-11-10
Last Update Date2016-09-10
Business Address
Dr. KHALID HASSAN MUTAWALLI D.D.S,M.S
3625 COLLEGE AVE BX1822
DAVIE, FL 33314-7724
Phone number: 202-560-3320
Mailing Address
Dr. KHALID HASSAN MUTAWALLI D.D.S,M.S
215 SE 8TH AVE APT#1640
FORT LAUDERDALE, FL 33301-3644
Phone number: 202-560-3320