Ghandour, Dima
Ghandour, Dima is an sole proprietor health care provider with primary practice located at 4077 Tamiami Trl N Suite D203, Naples FL 34103-8737. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ghandour, Dima can be contacted via phone (239) 658-3721.Contact Information
Primary practice address
4077 Tamiami Trl N Suite D203
Naples FL 34103-8737
Phone: (239) 658-3721
Fax: (239) 263-1932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN18045 | Florida |
Profile Details
| NPI number | 1891987384 |
|---|---|
| LBN Legal business name | Ghandour, Dima |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Aug 9th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891987384 | NPPES |
| Florida | MEDICAID | 017212900 |
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