Provider Demographics
NPI:1972956738
Name:KASABREH, NAJLA SANI (DDS)
Entity Type:Individual
Prefix:
First Name:NAJLA
Middle Name:SANI
Last Name:KASABREH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 S HIGH ST
Mailing Address - Street 2:APT 291
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3672
Mailing Address - Country:US
Mailing Address - Phone:614-705-4375
Mailing Address - Fax:
Practice Address - Street 1:190 S HIGH ST
Practice Address - Street 2:APT 291
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3672
Practice Address - Country:US
Practice Address - Phone:614-292-0371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3727390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program