Individual
RAWAN AWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
45 STUART ST, BOSTON, MA 02116-4742
(857) 206-2622
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DF11801
FM
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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