Individual
MIASSAR ABUTABIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-8300
Mailing address
334 BROADWAY, REVERE, MA 02151-5016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000556
MA
Other
Enumeration date
02/12/2024
Last updated
02/21/2025
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