Individual
DR. DAVID S HIJAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, P.A.
Contact information
Practice address
13106 WINCHESTER RD SW, LAVALE, MD 21502-6035
(301) 729-1000
(301) 729-0500
Mailing address
13106 WINCHESTER RD SW, LAVALE, MD 21502-6035
(301) 729-1000
(301) 729-0500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12919
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303248
UNITED CONCORDIA PROVIDER
MD
01
—
204046042001
CAREFIRST BCBS REGIONAL #
MD
01
—
ZZPKDA
CFMI DENTAL NUMBER
MD
Enumeration date
10/20/2006
Last updated
07/08/2007
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