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Individual

DR. ISLAM ABDELHADY KHASAWNEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
12335 HYMEADOW DR, STE 250, AUSTIN, TX 78750-1934
(512) 250-5012
Mailing address
13730 FM 620, APT 427, AUSTIN, TX 78717-1034
(443) 889-3147

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24287
TX
1223P0700X
Prosthodontics
Primary
24287
TX

Other

Enumeration date
11/25/2008
Last updated
11/25/2008
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