Mohamad Ghaith Al Halak, DDS
Dentist, General Practice in Morgantown, WV. Individual provider (NPI-1).
NPI number1205529815
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1205529815
- Entity type
- Individual (NPI-1)
- Name
- Mohamad Ghaith Al Halak
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2023
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4622 | WV | Yes |
Practice location
1554 Mileground Rd Ste AMorgantown, WV 26505-3749
Phone 304-282-2825
Mailing address
44 Brownstone DrMorgantown, WV 26505-2560
Phone 304-282-2825
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