Individual
AHMAD JABALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 E 24TH ST, DENTAL SCHOOL, NEW YORK, NY 10010-4020
(212) 998-9677
Mailing address
345 E 24TH ST, DENTAL SCHOOL, NEW YORK, NY 10010-4020
(212) 998-9677
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0000
ZZ
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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