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Organization

HIJAZI DENTAL ASSOCIATES LLC

Active
Other names
Happy Teeth Dental
Organization subpart
No

Provider details

NPI number
Authorized official
OSAMA HIJAZI DDS (OWNER)
(214) 334-5797
Entity
Organization

Contact information

Practice address
4930 W BROAD ST, SUITE 3, COLUMBUS, OH 43228-1696
(614) 853-4900
(614) 853-2415
Mailing address
4880 WELLSPRING CT, DUBLIN, OH 43016-7842

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30-022069
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2538203
OH
Enumeration date
10/21/2014
Last updated
11/18/2014
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