Individual
DR. MINA JOSEPH KADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6 DEWEY ST, NATICK, MA 01760
(508) 653-3930
(508) 653-1261
Mailing address
6 DEWEY ST, NATICK, MA 01760
(508) 653-3930
(508) 653-1261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21602
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2123584
—
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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