Individual
TAHA GHOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 FAUNCE CORNER MALL RD, NORTH DARTMOUTH, MA 02747-4216
(508) 999-5558
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855513
MA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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