Individual
MR. ISAM OMER AWADALLA IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 2ND ST SW, US COAST GUARD HEADQUARTERS MEDICAL, WASHINGTON, DC 20593-0002
(202) 372-4100
(202) 372-4912
Mailing address
2100 2ND ST SW, US COAST GUARD HEADQUARTERS MEDICAL, WASHINGTON, DC 20593-0002
(202) 372-4100
(202) 372-4912
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 18853
FL
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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