Most Relevant Information
Provider Data
| NPI Number: | 1003657776 |
| Provider Name: | ABDUL WALLI KAZI DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/05/2024 |
| Last Updated: | 06/05/2024 |
Provider Practice Location
401 PORT VIEW DR STE B
HARRISBURG
PA
171111226
Practice Location Phone/Fax
| Phone: | 7175647010 |
| Fax: |
Provider Mailing Location
3 MILLAR CT
PRINCETON JUNCTION
NJ
085503101
Provider Mailing Phone/Fax
| Phone: | 7326681467 |
| Fax: |