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Individual

TAWFIQ HAZBOUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6435 WEBSTER RD, ORCHARD PARK, NY 14127-1835
(716) 662-7229
Mailing address
NAS JACKSONVILLE, BUILDING 54, BUREAU OF MEDICINE & SURGERY DETACHMENT JACKSONVILLE, JACKSONVILLE, FL 32212-0140

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
058438-1
NY
1223P0700X
Prosthodontics
Primary
058438-1
NY

Other

Enumeration date
09/03/2010
Last updated
11/28/2023
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