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1902974173
IMAD SHAMMAA
CHARLESTON, WV
NPI
1902974173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: WV 3192)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
DR. IMAD SHAMMAA DMD MS
3920 MACCORKLE AVE SE
CHARLESTON, WV 25304
Phone number: 304-925-4258
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Mailing Address
DR. IMAD SHAMMAA DMD MS
3920 MACCORKLE AVE SE
CHARLESTON, WV 25304
Phone number: 304-925-4258
Copy
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