Individual
DR. SHADI AHMED ELMEKKAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 SUMMER ST APT 403, MALDEN, MA 02148-3927
(754) 234-6971
Mailing address
10 SUMMER ST APT 403, MALDEN, MA 02148-3927
(754) 234-6971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858646
MA
122300000X
Dentist
DN24903
FL
Other
Enumeration date
05/27/2020
Last updated
06/02/2020
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