Individual
DR. FADI KREISHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21 E PADONIA RD, LUTHERVILLE, MD 21093-2306
(410) 913-5700
Mailing address
11 CROFTLEY RD, LUTHERVILLE, MD 21093-5802
(773) 986-6193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032915
IL
1223G0001X
General Practice Dentistry
019.032915
IL
1223G0001X
General Practice Dentistry
Primary
17865
MD
Other
Enumeration date
09/25/2020
Last updated
05/22/2024
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