| NPI | 1720577505 |
|---|---|
| Former Name | OSAMAH AYAD ALRIFAIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN25441) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA 61029044) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-10-11 |