MEDICARE: MS. ZAILEEN JUMA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	12230000X	FL

General Provider Information

NPI Number	:	1275890824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ZAILEEN JUMA DMD

Provider Business Mailing Address
First Line	:	7606 BRIGHT LAKE BEND LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4494
Country	:	US
Telephone Number	:	832-876-6922
Fax Number	:

Provider Business Practice Location Address
First Line	:	7606 BRIGHT LAKE BEND LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4494
Country	:	US
Telephone Number	:	832-876-6922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2012
Last Update Date	:	06/25/2013

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