Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 0000 | ZZ |
N | 204E00000X | Oral & Maxillofacial Surgeon | DS041318 | PA |
NPI | 1285031153 |
---|---|
Provider Name | Dr. Saif Abdulateef |
First Address | Danville, PA 17822-4903 |
Second Address | Wilkes Barre, PA 18711-0027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2014 |
Last Update Date | 30/08/2020 |