Individual
HASSAN ALSHEHABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 MAIN ST, GREEN BAY, WI 54301-5115
(920) 431-0345
Mailing address
430 MAIN ST, GREEN BAY, WI 54301-5115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001880
WI
Other
Enumeration date
06/21/2018
Last updated
03/04/2020
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