Organization
HAMASAT GHEDDAF DAM, DMD,PC
Active
Other names
Prudential Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMASAT GHEDDAF DAM DMD, DR.MED.DENT (PRESIDENT/OWNER)
(617) 267-3889
Entity
Organization
Contact information
Practice address
575 BOYLSTON ST FL 7, BOSTON, MA 02116-3607
(617) 267-3889
Mailing address
575 BOYLSTON ST FL 7, BOSTON, MA 02116-3607
(617) 267-3889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856379
MA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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