Individual
MRS. LISA TABBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5A DR OSMAN BABSON RD, GLOUCESTER, MA 01930-1812
(978) 281-3773
(978) 281-0316
Mailing address
5A DR OSMAN BABSON RD, GLOUCESTER, MA 01930-1812
(978) 281-3773
(978) 281-0316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20341
MA
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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