Individual
OMAR TAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 LLOYD ST, CARRBORO, NC 27510-1883
(252) 347-1953
Mailing address
1036 SUNNYFIELD DR, GREENVILLE, NC 27858-9459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419131
VA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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