Individual
DR. AHMED H. EL-SAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
312 MASS AVE, LUNENBURG, MA 01462-1219
(978) 582-0800
(978) 582-6400
Mailing address
312 MASS AVE, LUNENBURG, MA 01462-1219
(978) 582-0800
(978) 582-6400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201316
—
MA
01
—
1432772
UNITED CONCORDIA ID
MA
01
—
922
DELTA OF MA-GROUP#
MA
05
—
9745939
—
MA
01
—
X10633
BCBS PRACTICE ID
MA
Enumeration date
01/25/2007
Last updated
01/28/2013
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