Individual
HAMZA OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4240 S RAVINIA DR, APT 202, GREENFIELD, WI 53221-5738
(414) 377-2563
Mailing address
4240 S RAVINIA DR, APT 202, GREENFIELD, WI 53221-5738
(414) 377-2563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001185-15
WI
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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