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Individual

DR. IDIL ABDULLAHI FARAH ASSEYR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
W183N9609 APPLETON AVE, GERMANTOWN, WI 53022-4501
(262) 677-3700
Mailing address
1800 S HANOVER ST APT 135, BALTIMORE, MD 21230-4980
(617) 888-9354

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17928
MD
1223G0001X
General Practice Dentistry
Primary
6001608
WI

Other

Enumeration date
04/16/2020
Last updated
11/04/2025
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