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Individual

AYAH BILBEISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 272-4300
Mailing address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 272-4300

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08869
IA
122300000X
Dentist
2901020238
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0076372
IA
Enumeration date
07/07/2010
Last updated
01/18/2012
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