Individual
DR. OMAR ELNABAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
100 S BROAD ST STE 1530, PHILADELPHIA, PA 19110-1026
(215) 383-9800
Mailing address
100 S BROAD ST STE 1530, PHILADELPHIA, PA 19110-1026
(215) 383-9800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS041930
PA
Other
Enumeration date
07/09/2018
Last updated
09/10/2018
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