Individual
OMAR MAZEN MAKTABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2814 NORTHGATE DR STE 1, ENDODONTIC ASSOCIATES OF IOWA, IOWA CITY, IA 52245-9513
(319) 351-6622
Mailing address
845 QUARRY RD, #214, CORALVILLE, IA 52241-2212
(909) 219-2535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63245
CA
122300000X
Dentist
Primary
DDS-09255
IA
Other
Enumeration date
03/25/2014
Last updated
12/06/2015
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