Individual
OMAR ABOOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4815 CENTRE AVE, SUITE 105, PITTSBURGH, PA 15213-1705
(412) 578-9722
(412) 578-9724
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036598
PA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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