Individual
ROUA AL TIMIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 HANCOCK ST, QUINCY, MA 02169-5205
(617) 471-3600
Mailing address
1518 HANCOCK ST, QUINCY, MA 02169-5205
(617) 471-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857116
MA
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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