Individual provider · NPI-1

Dr. Amin Abdallah, DDS

Dentist, Orthodontics and Dentofacial Orthopedics · Henderson, NV

NPI number1013469584
StatusActive
Last updated in NPPESAug 10, 2021

Details

NPI
1013469584
Entity type
Individual (NPI-1)
Name
Dr. Amin Abdallah
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 31, 2016
Certification date
Aug 10, 2021
Last updated
Aug 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial OrthopedicsS3-328CNVYes

Practice location

1350 Kelso Dunes Ave Apt 315
Henderson, NV 89014-7826

Phone 510-673-5130

Mailing address

1350 Kelso Dunes Ave Apt 315
Henderson, NV 89014-7826

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