Individual
MOSTAFA TABAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5850 BOYMEL DR STE 2, FAIRFIELD, OH 45014-5500
(513) 856-8252
Mailing address
5850 BOYMEL DR STE 2, FAIRFIELD, OH 45014-5500
(513) 856-8252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10049
KY
1223P0300X
Periodontics
Primary
30026606
OH
Other
Enumeration date
07/03/2018
Last updated
02/25/2026
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