Whalio Doctors

NPI 1013334291

Omar Mazen Maktabi, DDS

Practitioner Dentist Iowa City, IA

Practice location

Address
2814 Northgate Dr STE 1 Endodontic Associates of Iowa, Iowa City, IA 52245-9513
Phone
(319) 351-6622
Mailing address
845 Quarry Rd #214, Coralville, IA 52241-2212

Registered specialties (2)

Dentist Primary
Dental Providers Taxonomy 122300000X Licence DDS-09255 (IA)
Dentist
Dental Providers Taxonomy 122300000X Licence 63245 (CA)

Registry record

NPI
1013334291
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Mar 2014
Record last updated
6 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.