Mr. KERILLS HOSSAM AZER HABASHI
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1992417182- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1250 S BROOKHURST ST UNIT 2074, ANAHEIM, CA, 928045474
- Phone
- (714) 423-4436
Specialties & Taxonomies
Dentist, General Practice
Primary License: SC #DGD.10488