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Individual

DR. EVETTE TADROS BAKHIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOD

Contact information

Practice address
113 MAIN ST, MEDWAY, MA 02053-1802
(508) 533-7890
(508) 533-7890
Mailing address
113 MAIN ST, MEDWAY, MA 02053-1802
(508) 533-7890
(508) 533-7890

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17758
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0273201
MA
Enumeration date
08/10/2006
Last updated
03/25/2015
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