Individual
ADAM O SHAFIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
165 CAMBRIDGE ST STE 401, MGH DENTAL GROUP, BOSTON, MA 02114-2750
(617) 726-1076
Mailing address
165 CAMBRIDGE ST STE 401, MGH DENTAL GROUP, BOSTON, MA 02114-2750
(617) 726-1076
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DL13949
MA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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