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ZAIN ODEH DABBAS D.D.S
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1902097579
Individual Registrant: ZAIN ODEH DABBAS D.D.S
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2594 LOGANVIILE HWY, # 102 GRAYSON, GA 30017 US
Tel: 678-672-1590 Fax: --
Tel: 678-672-1590 Fax: --
Contact information for business:
1102 ALBEMARLE WAY LAWRENCEVILLE, GA 30017 US
Tel: 678-779-5851 Fax: --
Tel: 678-779-5851 Fax: --
Registration Information:
NPI: 1902097579
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | GA | DN013618 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
