Dr. Nicolas Fawzi Abujamra, DDS, MS
Dentist in Green Bay, WI. Individual provider (NPI-1).
NPI number1720123201
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720123201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicolas Fawzi Abujamra
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4873-015 | WI | Yes |
Practice location
2581 Development DrSuite 102
Green Bay, WI 54311-4247
Phone 920-347-2626 · Fax 920-347-2621
Mailing address
2581 Development DrSuite 102
Green Bay, WI 54311-4247
Phone 920-347-2626 · Fax 920-347-2621
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