Individual
DEENA AL-AAWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12612 CAPITAL BLVD STE 100, WAKE FOREST, NC 27587-7489
(919) 435-3313
Mailing address
780 JACOBS WAY, CANTONMENT, FL 32533-7897
(251) 359-4338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12883
NC
122300000X
Dentist
Primary
4669
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2022
Last updated
04/30/2024
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