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Individual
DR. SAM AYAD ISSA
Active
Individual
DR. SAM AYAD ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, HDD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61029044
WA
122300000X
Dentist
Primary
DN25441
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2018
Last updated
10/11/2022
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