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Individual

DAOUD KNABIMDITHASBANI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1870 GRAND CONCOURSE, BRONX, NY 10457-5401
(718) 731-6377
(718) 731-6773
Mailing address
1311 KINGS HWY, BROOKLYN, NY 11229-1903
(718) 339-7773
(718) 339-7779

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0479021
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01913377
NY
01
9369
DORAL
NY
01
D00049101
AMERICHOICE
NY
Enumeration date
11/17/2005
Last updated
07/08/2007
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