Individual
DR. NICOLAS FAWZI ABUJAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2581 DEVELOPMENT DR, SUITE 102, GREEN BAY, WI 54311-4247
(920) 347-2626
(920) 347-2621
Mailing address
2581 DEVELOPMENT DR, SUITE 102, GREEN BAY, WI 54311-4247
(920) 347-2626
(920) 347-2621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4873-015
WI
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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