Individual
OSAMA A HIJAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4930 W BROAD ST, SUITE 3, COLUMBUS, OH 43228-1696
(614) 853-4900
(614) 853-2415
Mailing address
4880 WELLSPRING CT, DUBLIN, OH 43016-7842
(214) 334-5797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1777823
UNITED CONCORDIA
OH
05
—
2538203
—
OH
01
—
9179698
DORAL
OH
Enumeration date
11/01/2006
Last updated
08/03/2015
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