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1750754818
KHALID HASSAN MUTAWALLI
DAVIE, FL
NPI
1750754818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: FL DN 20908)
Enumeration Date
2015-11-10
Last Update Date
2016-09-10
Business Address
Dr. KHALID HASSAN MUTAWALLI D.D.S,M.S
3625 COLLEGE AVE BX1822
DAVIE, FL 33314-7724
Phone number: 202-560-3320
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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
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