Most Relevant Information
Provider Data
| NPI Number: | 1003473927 |
| Provider Name: | SURA DABBAGH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN24072 |
Most Important Dates
| Enumeration Date: | 05/27/2019 |
| Last Updated: | 05/27/2019 |
Provider Practice Location
5348 COUNTY ROAD 581
WESLEY CHAPEL
FL
335448612
Practice Location Phone/Fax
| Phone: | 8139731837 |
| Fax: |
Provider Mailing Location
1426 HUNTERS RUN DR
GRAND BLANC
MI
484396320
Provider Mailing Phone/Fax
| Phone: | 6038927938 |
| Fax: |