Individual
OMAR ELBARRAG I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
9 FORBES ST, JAMAICA PLAIN, MA 02130-4858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL101270
MA
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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