Individual
OMAR SAMI AASAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 E STATE BLVD STE A, FORT WAYNE, IN 46805-4761
(260) 788-0263
Mailing address
2819 PADOVA CT, LEAGUE CITY, TX 77573-1591
(317) 755-6464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014118A
IN
Other
Enumeration date
04/03/2023
Last updated
06/02/2023
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