Individual
HUSAM IDREES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CONTINENTAL DR, ELIZABETHTOWN, PA 17022-2260
(717) 367-1336
Mailing address
110 ROCKY KNOB WAY, MOUNTVILLE, PA 17554-1889
(717) 203-2290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043591
PA
Other
Enumeration date
06/01/2022
Last updated
02/22/2024
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