Individual
MODAR AL-ROOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 MAIN ST STE 3, WALTHAM, MA 02451-7448
(781) 697-3400
Mailing address
69 PARK DR APT 6, BOSTON, MA 02215-5208
(424) 355-3864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859028
MA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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