OMAR SAMI AASAR
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1699470385- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2828 E STATE BLVD STE A, FORT WAYNE, IN, 468054761
- Phone
- (260) 788-0263
Specialties & Taxonomies
Dentist, General Practice
Primary License: IN #12014118A