Individual
ALI ABUHALTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3246 NAVARRE AVE, OREGON, OH 43616-3395
(231) 730-0168
Mailing address
3246 NAVARRE AVE, OREGON, OH 43616-3395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027350
OH
Other
Enumeration date
03/06/2023
Last updated
09/18/2023
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