Individual
BASEL HAJJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3100 NORTH CAMPBELL ST, VALPARAISO, IN 46385-2361
(219) 462-8848
(219) 462-8848
Mailing address
3100 NORTH CAMPBELL ST, VALPARAISO, IN 46385-2361
(219) 462-8848
(219) 462-8848
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12010711A
IN
Other
Enumeration date
11/18/2006
Last updated
07/08/2007
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