Individual
FIRAS ALDARAWCHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 595-1159
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 595-1159
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
11561
MA
124Q00000X
Dental Hygienist
Primary
DH11561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301071
—
MA
Enumeration date
01/24/2007
Last updated
12/21/2011
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