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Individual

MAGED MOHAREB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DENTURIST

Contact information

Practice address
10800 SE 17TH CIR APT 230, VANCOUVER, WA 98664-6222
(310) 663-3678
Mailing address
10800 SE 17TH CIR APT 230, VANCOUVER, WA 98664-6222
(310) 663-3678

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60669859
WA

Other

Enumeration date
11/15/2016
Last updated
11/15/2016
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