Provider Demographics
NPI:1326609371
Name:HABASHY, CYNTHIA (DMD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:HABASHY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:561-254-2663
Mailing Address - Fax:
Practice Address - Street 1:4388 GOLFERS CIR W
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4632
Practice Address - Country:US
Practice Address - Phone:561-254-2663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL241741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice