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Organization
NIZAM JABBOUR DDS PC
Active
Organization
NIZAM JABBOUR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIZAM JABBOUR DENTIST (DDS)
(845) 454-0560
Entity
Organization
Contact information
Practice address
153 ACADEMY ST, POUGHKEEPSIE, NY 12601-4567
(845) 454-0560
Mailing address
2 CLARINBRIDGE CT, HOPEWELL JUNCTION, NY 12533-3325
(845) 454-0560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/22/2023
Last updated
03/24/2023
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