Individual
KINAN KANBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
296 GREAT RD, ACTON, MA 01720-4710
(978) 263-8525
(978) 263-2955
Mailing address
296 GREAT RD, ACTON, MA 01720-4710
(978) 263-8525
(978) 263-2955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19336
MA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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