Individual
MAHUM ABBAS MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13625 CALIFORNIA ST STE 300, OMAHA, NE 68154-5246
(402) 933-8005
Mailing address
3157 FARNAM ST APT 7331, OMAHA, NE 68131-3544
(440) 391-1878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7481
NE
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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