Individual
DR. OMAR ALZEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2871
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2871
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
062157
NY
122300000X
Dentist
Primary
DS044074
PA
1223G0001X
General Practice Dentistry
062157
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2020
Last updated
07/02/2023
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