Lakhdar Bahous

NPI #1720976806 in Edgewater, Florida

Provider Information

NPI Number: 1720976806
Entity Type: Individual
Name: Lakhdar Bahous
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 26, 2025
Last Updated: Jun 26, 2025

Practice Location

Address: 2102 S RIDGEWOOD AVE STE 11
City: Edgewater
State: Florida
ZIP Code: 32141-4240
Phone: (386) 423-3652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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