Individual
DR. MOHAMED HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
858 E SQUANTUM ST, QUINCY, MA 02171-1227
(617) 733-7979
Mailing address
858 E SQUANTUM ST, QUINCY, MA 02171-1227
(617) 733-7979
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20988
MA
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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