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Individual
AMIR ITANI
Active
Individual
AMIR ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17303
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN2000121
DC
Other
Enumeration date
03/27/2018
Last updated
06/08/2022
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