Individual
SAMMY STEFAN NOUMBISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 SAINT PATRICKS DR, WALDORF, MD 20603-4574
(301) 870-4553
Mailing address
14921 SADDLE CREEK DR, BURTONSVILLE, MD 20866-2210
(301) 870-4553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12911
MD
Other
Enumeration date
07/06/2007
Last updated
03/06/2020
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