Individual
MARY HANNA GHATTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1247 BEACON ST, BROOKLINE, MA 02446-5273
(617) 738-0806
Mailing address
1000 PRESIDENTS WAY APT 1319, DEDHAM, MA 02026-4568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856582
MA
1223P0221X
Pediatric Dentistry
Primary
DN1856582
MA
Other
Enumeration date
06/03/2014
Last updated
08/09/2016
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