Individual
NATALIA C HABIBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
810 OFALLON RD STE 80, WELDON SPRING, MO 63304-8107
(636) 244-4052
Mailing address
810 OFALLON RD STE 80, WELDON SPRING, MO 63304-8107
(636) 244-4052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2017012882
MO
122300000X
Dentist
DN1859245
MA
1223G0001X
General Practice Dentistry
Primary
019030912
IL
Other
Enumeration date
08/01/2016
Last updated
06/21/2024
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