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Individual
DR. MATTHEW S. ABRAHAM
Active
Individual
DR. MATTHEW S. ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7902
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DT-2353
HI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD-14911
HI
Other
Enumeration date
02/12/2007
Last updated
10/28/2020
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