Individual
JAWAD BASSAM JAGHAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
121 S 43RD ST APT 402, PHILADELPHIA, PA 19104-3195
(929) 218-6553
Mailing address
121 S 43RD ST APT 402, PHILADELPHIA, PA 19104-3195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044381
PA
Other
Enumeration date
01/07/2025
Last updated
01/08/2025
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