Individual
DR. NAZEEH JUMA ABUNASRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
89 CORNERSTONE DR, SOUTH WINDSOR, CT 06074-2373
(917) 892-5431
Mailing address
89 CORNERSTONE DR, SOUTH WINDSOR, CT 06074-2373
(917) 892-5431
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
009496
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
054511
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
21347
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3514
NH
Other
Enumeration date
07/11/2006
Last updated
03/04/2013
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