Individual
MUTASEM AL-THWEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, BDS
Contact information
Practice address
1431 S WOODLAND AVE, MICHIGAN CITY, IN 46360-7122
(219) 874-7840
Mailing address
1431 S WOODLAND AVE, MICHIGAN CITY, IN 46360-7122
(219) 874-7840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013800A
IN
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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