Individual
DR. IMAD ALASIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1033 ROBERTS BRANCH PKWY STE 103, COLUMBIA, SC 29203-9148
(402) 819-8897
Mailing address
1707 SASSAFRAS CT, GREENVILLE, NC 27858-1033
(402) 819-8897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9478
SC
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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