Individual
MR. OMAR IBNEE ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W ALLEGHENY AVE STE B1, PHILADELPHIA, PA 19133-3614
(215) 291-9200
(215) 278-7596
Mailing address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044845
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/23/2023
Last updated
08/23/2024
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