Individual
DR. LANA OBEIDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
318 RINDGE AVE UNIT 109, CAMBRIDGE, MA 02140-3149
(617) 901-9049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1859217
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13499
CT
Other
Enumeration date
10/12/2021
Last updated
07/18/2022
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