Individual
ELZAHRAA NASSER TELEB HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
580 BROAD ST, LAKE GENEVA, WI 53147-1420
(262) 248-2773
Mailing address
123 TURTLE CREEK DR APT 5, DELAVAN, WI 53115-1565
(913) 617-5073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001933-15
WI
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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