Individual
LAURA AWADALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4075 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2525
(412) 856-4877
Mailing address
6213 SPIRIT ST APT 481, PITTSBURGH, PA 15206-3194
(330) 727-4430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041195
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/27/2016
Last updated
07/21/2022
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