Individual
DR. SHADI KARAM HAIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
95 WASHINGTON ST, CANTON, MA 02021-4006
(781) 828-2600
(781) 828-2619
Mailing address
26 DESOTO RD, WEST ROXBURY, MA 02132-6033
(617) 259-7027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858127
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2018
Last updated
10/17/2018
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