Individual
QASEM FAISAL AQRABAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1551 PARK PL STE 300, GREEN BAY, WI 54304-1969
(920) 365-5365
Mailing address
15521 S MALLARD LN, HOMER GLEN, IL 60491-6770
(708) 400-5029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6002238-15
WI
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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