Individual
DR. HASSANOOR ABDIRAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 N CARRIAGE PKWY STE 60, WICHITA, KS 67208-4512
(719) 562-4460
Mailing address
650 N CARRIAGE PKWY STE 60, WICHITA, KS 67208-4512
(719) 562-4460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60614
KS
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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