Individual
JOBY E. JABERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6859-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S49
MN
390200000X
Student in an Organized Health Care Education/Training Program
0022997
TX
Other
Enumeration date
06/09/2007
Last updated
08/06/2012
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