Individual provider · Type 1 NPI

Khalid Hassan Mutawalli, D.D.S, M.S

Pediatric Dentistry · Davie, FL

NPI number 1750754818 Active

Practice location

3625 College Ave, BX1822
Davie, FL 33314-7724

Call (202) 560-3320 Map

Mailing address

215 SE 8th Ave, APT#1640
Fort Lauderdale, FL 33301-3644

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN 20908 (FL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1750754818

Khalid Hassan Mutawalli, D.D.S, M.S's National Provider Identifier is 1750754818, issued on Nov 10, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Davie, FL. The record was last updated on Sep 10, 2016.