NPI | 1942538160 |
---|---|
Former Name | POLA AWAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59641) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22di02428700) |
Enumeration Date | 2009-11-29 |
Last Update Date | 2024-08-15 |