Individual
DR. ADEL GHANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
469 JEFFERSON AVE, STATEN ISLAND, NY 10306-5430
(347) 653-2909
Mailing address
469 JEFFERSON AVE, STATEN ISLAND, NY 10306-5430
(347) 653-2909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4987
ME
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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