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Provider Information for 1891964623



DR. MAHER KASABJI DDS

Gender: MALE

Individual NPI: 1891964623

Calendar Last Updated: 2008-02-26

Details

Name Value
NPI 1891964623
Enumeration Date 2008-02-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 150 HAZARD AVE #C3
ENFIELD, CT 06082-4575
United States

Phone: 860-763-5522 | Fax: 860-763-5521
View Map External Link
Primary Practice Address 150 HAZARD AVE #C3
ENFIELD, CT 06082-4575
United States

Phone: 860-763-5522 | Fax: 860-763-5521
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CT 9016