Mabrouk, Wael K
Mabrouk, Wael K is an sole proprietor health care provider with primary practice located at 10590 Enduring Freedom Dr , Fort Drum NY 13602-5503. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mabrouk, Wael K can be contacted via phone (315) 772-6234.Contact Information
Primary practice address
10590 Enduring Freedom Dr
Fort Drum NY 13602-5503
Phone: (315) 772-6234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 057089 | New York |
Profile Details
| NPI number | 1700145828 |
|---|---|
| LBN Legal business name | Mabrouk, Wael K |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2012 |
| Last updated | Jun 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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