MEDICARE: MRS. SAHAR I ELNAJJAR DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5852	LA

General Provider Information

NPI Number	:	1154505527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SAHAR I ELNAJJAR DDS

Provider Business Mailing Address
First Line	:	39 OSBORNE AVE
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-3107
Country	:	US
Telephone Number	:	504-471-0085
Fax Number	:

Provider Business Practice Location Address
First Line	:	3531 RIDGELAKE DR
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-3615
Country	:	US
Telephone Number	:	504-831-3390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2007
Last Update Date	:	08/07/2008

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