Individual
DR. BAHAA RIZKALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
24 NORTH ST, PLYMOUTH, MA 02360-3382
(508) 746-1840
(508) 746-7318
Mailing address
24 NORTH ST, PLYMOUTH, MA 02360-3382
(508) 746-1840
(508) 746-7318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12930
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38120
HARVARD PILGRIM
MA
01
—
X11381
BLU CROSS OF MA
MA
Enumeration date
07/12/2006
Last updated
07/08/2007
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