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NPI Code Detail

MEDICARE: DR. ESPIR J ABAJI DDS

MEDICARE:  DR. ESPIR J ABAJI  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
1122300000XDentistDN24954FL
2122300000XDentist22DI02807400NJ
3122300000XDentist2020015357MO

General Provider Information

NPI Number : 1356965289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESPIR J ABAJI DDS
Provider Business Mailing Address
First Line : 12221 SAINT CHARLES ROCK RD
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12221 SAINT CHARLES ROCK RD
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2502
Country : US
Telephone Number : 314-656-6615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2020
Last Update Date : 08/21/2020

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Directions to “ DR. ESPIR J ABAJI DDS” Practice Location

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