NPI | 1598098592 |
---|---|
Former Name | FIRAS AL-HABAJ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO DEN.00203723) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OH 21301) |
Enumeration Date | 2009-09-09 |
Last Update Date | 2024-09-20 |