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Individual

DR. HUMAIRA Y HABIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
420 S PEARL AVE, STE 4, JOPLIN, MO 64801-2541
(417) 553-0856
Mailing address
420 S PEARL AVE, STE 4, JOPLIN, MO 64801-2541
(417) 553-0856

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
054784
NY
1223P0300X
Periodontics
Primary
2007014478
MO
1223P0300X
Periodontics
D009315
AZ

Other

Enumeration date
05/22/2007
Last updated
02/12/2016
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