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Individual
OMAR DYAB
Active
Individual
OMAR DYAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58950
CA
1223G0001X
General Practice Dentistry
D12346
MN
Other
Enumeration date
03/02/2007
Last updated
12/22/2019
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