Individual
NABEEH BASSAM JAGHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104
(201) 844-4251
Mailing address
117 S 42ND ST, PHILADELPHIA, PA 19104
(201) 844-4251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041947
PA
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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