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Individual

DR. AMIRA OMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
137 HATHAWAY RD, NEW BEDFORD, MA 02746-1304
(774) 425-0613
Mailing address
15 HARBOR POINT BLVD APT 407, BOSTON, MA 02125-3205
(917) 870-7297

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DL13339
MA
122300000X
Dentist
DN1858838
MA
1223G0001X
General Practice Dentistry
Primary
DN1858838
MA

Other

Enumeration date
08/15/2017
Last updated
01/05/2021
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