Individual
MOSTAFA KABBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(480) 444-6991
Mailing address
5422 E MURIEL DR, SCOTTSDALE, AZ 85254-5885
(480) 444-6991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2590
OH
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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