Individual
HANI AHDAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1209 WINTHROP AVE, LAFAYETTE, IN 47909-2420
(765) 477-7722
Mailing address
1209 WINTHROP AVE, LAFAYETTE, IN 47909-2420
(765) 477-7722
(765) 477-7725
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012631A
IN
Other
Enumeration date
07/31/2014
Last updated
04/08/2017
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