Individual
MOHAMED HABIB AHMED TAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
Mailing address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 989-3289
(617) 989-3125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15958
MA
122300000X
Dentist
DL16005
MA
Other
Enumeration date
11/27/2023
Last updated
03/20/2024
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