Individual
MOHAMED HAZEM FARID ELNAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1438 GRAFTON ST, WORCESTER, MA 01604-2721
(508) 753-5488
(508) 753-8048
Mailing address
1438 GRAFTON ST, WORCESTER, MA 01604
(508) 735-5488
(508) 753-8048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856646
MA
1223G0001X
General Practice Dentistry
ETN192
TX
Other
Enumeration date
08/14/2013
Last updated
05/09/2016
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