Individual
RUBA NAIM KHADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
408 W FLORIDA ST STE 105, MILWAUKEE, WI 53204-1509
(414) 810-1707
Mailing address
408 W FLORIDA ST STE 105, MILWAUKEE, WI 53204-1509
(414) 810-1707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9594
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1000960
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9002
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
9002
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992976427
—
WI
Enumeration date
03/12/2008
Last updated
05/23/2022
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