Individual
DR. MELIA JULIA ABOU-HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2903 RUSHFORD CT, PEORIA, IL 61614-1145
(309) 265-6488
Mailing address
625 W 57TH ST APT 1419, NEW YORK, NY 10019-2663
(309) 265-6488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
064075
NY
1223G0001X
General Practice Dentistry
Primary
22D103021000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2023
Last updated
12/20/2024
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