Individual
HASSAN ABDALLA MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 894-3681
(508) 559-5073
Mailing address
4224 AVALON DR, ACTON, MA 01720-3456
(754) 308-9573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL100216
MA
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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