Individual
DR. OMAR AL AZZAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1537 S SCATTERFIELD RD STE A, ANDERSON, IN 46016-5783
(765) 347-7722
Mailing address
17132 SEABOARD PL, NOBLESVILLE, IN 46062-0125
(347) 327-0831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014066A
IN
Other
Enumeration date
05/22/2023
Last updated
04/06/2024
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