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Individual

DR. MARAWAN EL NABOULSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
1820 GADSDEN HWY STE 112, BIRMINGHAM, AL 35235-3205
(949) 584-4199
Mailing address
2024 2ND AVE N UNIT 1502, BIRMINGHAM, AL 35203-3746
(949) 584-4199

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D.007367-C
AL
390200000X
Student in an Organized Health Care Education/Training Program
30.025896
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/31/2019
Last updated
08/01/2024
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