Individual
SAIED DIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 ATTUCKS LN, HYANNIS, MA 02601-1867
(508) 778-0300
Mailing address
735 ATTUCKS LN # MA02601, HYANNIS, MA 02601-1867
(508) 778-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL12891
MA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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