Individual
DR. BAHA QABLAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4144 HARBOR TOWN LN STE 600, MANITOWOC, WI 54220-5856
(920) 683-2101
Mailing address
8981 SW 17TH CT, MIRAMAR, FL 33025-7600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4364
WV
Other
Enumeration date
09/18/2018
Last updated
05/06/2019
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