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 |