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Individual

DR. SAMUEL S WAKIM

Active
Find providers by NPI
Individual

DR. SAMUEL S WAKIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12011100A
IN
122300000X
Dentist
36188
TX
122300000X
Dentist
40509
CA
122300000X
Dentist
Primary
DN23028
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B40509-01
CA
Enumeration date
01/15/2007
Last updated
11/03/2021
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