NPI Profile for Dr THAER DAIFALLAH in KANSAS CITY, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Plastic Surgery Within the Head and Neck |
2082S0099X | 02 | Physician/General Surgery |
| NPI Number | 1699901868 |
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| Status | Active | |
| Credentials | DDS (Doctor of Dental Surgery) | |
| Entity | Individual | |
| Enumeration date | 06/02/2009 | |
| Last updated | 11/19/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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THAER DAIFALLAH
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