Individual
HISHAM ESSAM A MERDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S., D.SC.D
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401414352
VA
1223P0221X
Pediatric Dentistry
2901020826
MI
Other
Enumeration date
09/19/2013
Last updated
08/20/2015
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