BASHAR ADEINAT

ORANGE PARK, FL
NPI1902248412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: FL  DN22303)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-07-25
Last Update Date2018-06-14
Business Address
BASHAR ADEINAT
1340 BLANDING BLVD STE 108
ORANGE PARK, FL 32065
Phone number: 904-639-6924
Mailing Address
BASHAR ADEINAT
4673 SW 75TH WAY
DAVIE, FL 33314-4113
Phone number: 860-218-5560