Individual
FAHMIDA HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2501 W LEHIGH AVE, PHILADELPHIA, PA 19132-3207
(215) 227-0300
(215) 227-0302
Mailing address
2501 W LEHIGH AVE, PHILADELPHIA, PA 19132-3207
(215) 227-0300
(215) 227-0302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030788-L
PA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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