Individual
NAWAR ISSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL12852
MA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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