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Individual
NABIL G BISHARA
Active
Individual
NABIL G BISHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414607
VA
1223G0001X
General Practice Dentistry
15767
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093956100
—
MD
Enumeration date
08/28/2014
Last updated
01/28/2022
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