Individual
HABIB BUABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 PATTERSON RD, DAYTON, OH 45419-4308
(937) 979-9044
(937) 979-9009
Mailing address
425 PATTERSON RD, DAYTON, OH 45419-4308
(937) 979-9044
(937) 979-9009
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
VA300974
OH
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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