| NPI | 1639242373 | 
|---|---|
| Former Name | HASSAN ABEDL-MOETI | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN013813) | 
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-021450) | 
| Enumeration Date | 2006-11-17 | 
| Last Update Date | 2014-12-02 |