Individual
SALLY GABBOUR MEHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2329 W SKINNER DR, PHOENIX, AZ 85085-2769
(609) 373-7418
Mailing address
2329 W SKINNER DR, PHOENIX, AZ 85085-2769
(609) 373-7418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02611100
NJ
122300000X
Dentist
Primary
D009852
AZ
Other
Enumeration date
07/23/2015
Last updated
07/21/2022
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