Individual
DR. OSAMA ABOULKHAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2123 BROAD RIVER RD, COLUMBIA, SC 29210-7007
(703) 438-0060
Mailing address
111 SWEET THORNE RD, IRMO, SC 29063-8312
(703) 438-0060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9755
SC
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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