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Individual
JUDE FAYEZ ITANI
Active
Individual
JUDE FAYEZ ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
S232
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S232
MN
Other
Enumeration date
02/14/2021
Last updated
03/31/2026
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