Individual provider · NPI-1

Joe W Abdelnour, DDS MS

Dentist, Oral and Maxillofacial Surgery · Bullhead City, AZ

NPI number1013943612
StatusActive
Last updated in NPPESNov 21, 2007

Details

NPI
1013943612
Entity type
Individual (NPI-1)
Name
Joe W Abdelnour
Credential
DDS MS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 24, 2006
Last updated
Nov 21, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial SurgeryD4537AZYes

Practice location

1467 Palma Road
Suite 3
Bullhead City, AZ 86442

Phone 928-763-1203 · Fax 928-758-1072

Mailing address

1467 Palma Rd
Suite 1
Bullhead City, AZ 86442

Phone 928-763-1203 · Fax 928-758-1072

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