Provider Demographics
NPI:1033889134
Name:HABASHY DENTAL II, PA
Entity Type:Organization
Organization Name:HABASHY DENTAL II, PA
Other - Org Name:HABASHY DENTAL II, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:M
Authorized Official - Last Name:HABASHY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-254-4950
Mailing Address - Street 1:4388 GOLFERS CIR W
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4632
Mailing Address - Country:US
Mailing Address - Phone:561-254-4950
Mailing Address - Fax:
Practice Address - Street 1:8777 HYPOLUXO RD STE 4A
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-5318
Practice Address - Country:US
Practice Address - Phone:561-427-7711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty