Individual
DOUAA MOSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ACME ST, MARIETTA, OH 45750
(740) 373-3136
Mailing address
30 ACME ST, MARIETTA, OH 45750-3306
(740) 236-7566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
004687
OH
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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