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Individual
DR. OMAR SHEHAB
Active
Individual
DR. OMAR SHEHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61221639
WA
1223P0300X
Periodontics
Primary
DE61221639
WA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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