NPI 1366969107

Faten Mustafa, RDH

Practitioner Dental Hygienist Fort Pierce, FL

Practice location

Address: 714 Avenue C, Fort Pierce, FL 34950-4189
Phone: (772) 462-3803
Mailing address: 5150 NW Milner Dr, Port Saint Lucie, FL 34983-3392

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH18626 (FL)

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Registry record

NPI: 1366969107
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2017
Record last updated: 23 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.