Individual
WASNA DABBAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1041 PONTIAC RD, DREXEL HILL, PA 19026-4816
(610) 446-6004
Mailing address
736 MUSTIN LN, VILLANOVA, PA 19085-2014
(503) 705-4247
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS040185
PA
Other
Enumeration date
06/15/2015
Last updated
09/27/2018
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