Individual
DR. HUSAM (SAM) MUWAFAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 MOUNT VERNON DR STE 201, GEORGETOWN, KY 40324-1410
(859) 317-3864
Mailing address
150 MOUNT VERNON DR STE 201, GEORGETOWN, KY 40324-1410
(859) 317-3864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10476
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
07/09/2024
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