Provider Demographics
NPI:1881899631
Name:HABIB, MARY-HELEN S (DMD)
Entity type:Individual
Prefix:DR
First Name:MARY-HELEN
Middle Name:S
Last Name:HABIB
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 1:555 N CONGRESS AVE
Mailing Address - Street 2:SUITE# 303
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3469
Mailing Address - Country:US
Mailing Address - Phone:561-739-9444
Mailing Address - Fax:561-736-3800
Practice Address - Street 1:555 N CONGRESS AVE
Practice Address - Street 2:SUITE# 303
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3469
Practice Address - Country:US
Practice Address - Phone:561-739-9444
Practice Address - Fax:561-736-3800
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN179611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice