Healthcare Provider Details

I. General information

NPI: 1821062753
Provider Name (Legal Business Name): NADJMEH MARIA HARIRI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3D DEN BN/USNDC UNIT 38450
FPO AP
96604-8450
US

IV. Provider business mailing address

PSC 559 BOX 5365
FPO AP
96377
US

V. Phone/Fax

Practice location:
  • Phone: 6452390
  • Fax:
Mailing address:
  • Phone: 6227539
  • Fax: 6227501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number5256
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: