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Individual
OMID HADJ
Active
Individual
OMID HADJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.033710
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6001965-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2022
Last updated
08/10/2026
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