Individual
SAMEH DAWOUD TAWADROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-1618
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11376
OR
1223G0001X
General Practice Dentistry
D11376
OR
Other
Enumeration date
12/11/2020
Last updated
02/06/2025
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