Individual
DR. SAM WAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.P.H
Contact information
Practice address
17 S WARREN ST, DOVER, NJ 07801-4506
(973) 328-9100
Mailing address
331 W MAIN ST, DENVILLE, NJ 07834-1214
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DI 21632
NJ
1223G0001X
General Practice Dentistry
Primary
DI 21632
NJ
Other
Enumeration date
05/12/2008
Last updated
02/27/2012
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