Individual
DR. MOHAMED BAMASHMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S., D.SC.D
Contact information
Practice address
100 E NEWTON ST, SUITE#104, BOSTON, MA 02118-2308
(617) 414-1026
Mailing address
100 E NEWTON ST, SUITE#104, BOSTON, MA 02118-2308
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DL10976
MA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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