Individual
NADIA HATOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S 108TH ST, WEST ALLIS, WI 53214-1100
(312) 307-6779
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002572
WI
Other
Enumeration date
04/22/2021
Last updated
08/31/2023
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