Individual
ALAA MOUMINAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
Mailing address
4233 CHESTNUT ST UNIT 210, PHILADELPHIA, PA 19104-3094
(267) 939-3840
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
RFD000050
PA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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