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Search › Pennsylvania › 122300000X

Ban Al Qazzaz, DMD

NPI 1629811815 · on the registry since 2024 · sole proprietor

Practice

Address
30 Pinnacle Dr
Clarion, PA 16214
Phone
(814) 223-9906
Organisation at this address
Clarion Pharmacy Inc
Primary Health Network
Primary Health Network
Primary Health Network
Butler Medical Providers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223D0001X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania