Hamza Omar

NPI #1184095028 in Greenfield, Wisconsin

Provider Information

NPI Number: 1184095028
Entity Type: Individual
Name: Hamza Omar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Oct 19, 2015
Last Updated: Oct 19, 2015

Practice Location

Address: 4240 S RAVINIA DR
Address 2: APT 202
City: Greenfield
State: Wisconsin
ZIP Code: 53221-5738
Phone: (414) 377-2563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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