Individual
ABD AL HADI KAWAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 DORSET ST, SOUTH BURLINGTON, VT 05403-6306
(469) 434-9908
Mailing address
340 DORSET ST, SOUTH BURLINGTON, VT 05403-6306
(469) 434-9908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160134209
VT
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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