Individual
GAYDA ABULSHAMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S, A.B.G.D
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(646) 593-3258
Mailing address
2113 RIDGE WAY, FORT LEE, NJ 07024-2204
(646) 593-3258
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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