Organization
M GABER HASSAN CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED HASSAN DMD (OWNER)
(908) 278-4746
Entity
Organization
Contact information
Practice address
201 WISE AVE, BALTIMORE, MD 21222-4943
(410) 288-1162
Mailing address
201 WISE AVE, BALTIMORE, MD 21222-4943
(410) 288-1162
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548660475
DENTAL
MD
Enumeration date
09/23/2019
Last updated
09/23/2019
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