Individual
DR. OMAR SHEHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22516 SE 64TH PL STE 200, ISSAQUAH, WA 98027-5503
(425) 427-1120
Mailing address
2408 W MERCER WAY, MERCER ISLAND, WA 98040-2515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61221639
WA
1223P0300X
Periodontics
Primary
DE61221639
WA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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