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Individual

ISAM HAMATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8057 BREWERTON RD, CICERO, NY 13039-9585
(315) 698-0040
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-8650

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
016-0002234
VT
122300000X
Dentist
Primary
047142-1
NY
122300000X
Dentist
12010905A
IN
122300000X
Dentist
21260
MA
122300000X
Dentist
22DI02018700
NJ
122300000X
Dentist
3446
NH
122300000X
Dentist
3760
ME
122300000X
Dentist
8567
CT
122300000X
Dentist
DEN02865
RI
122300000X
Dentist
DS030266L
PA

Other

Enumeration date
10/23/2006
Last updated
08/18/2015
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