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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CT 9016
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location