Individual
JOE W ABDELNOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1467 PALMA ROAD, SUITE 3, BULLHEAD CITY, AZ 86442
(928) 763-1203
(928) 758-1072
Mailing address
1467 PALMA RD, SUITE 1, BULLHEAD CITY, AZ 86442
(928) 763-1203
(928) 758-1072
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D4537
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34223B
AAHCCS
AZ
Enumeration date
06/24/2006
Last updated
11/21/2007
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