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Individual

DR. ALIA ABDULHADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1200 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4866
(405) 494-8092
Mailing address
17705 SPARROW HAWK LN, EDMOND, OK 73012-7137
(405) 510-6853

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6986
OK
1223G0001X
General Practice Dentistry
Primary
6986
OK

Other

Enumeration date
08/26/2017
Last updated
09/05/2017
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