Individual
NABIL G BISHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6188 OXON HILL RD STE 200, OXON HILL, MD 20745-3157
(301) 567-3122
(301) 567-5234
Mailing address
6188 OXON HILL RD, STE 200, OXON HILL, MD 20745-3157
(703) 938-7615
(703) 242-9417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414607
VA
1223G0001X
General Practice Dentistry
15767
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093956100
—
MD
Enumeration date
08/28/2014
Last updated
01/28/2022
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