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FIRAS ADHAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1313 W CHICAGO AVE, EAST CHICAGO, IN 46312
(219) 398-9685
(219) 398-9695
Mailing address
2401 VALLEY DR., VALPARAISO, IN 46383
(219) 413-5100
(219) 465-9502

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1001133-15
WI
1223G0001X
General Practice Dentistry
Primary
12012679A
IN

Other

Enumeration date
06/26/2015
Last updated
03/08/2021
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