Individual
BADER A AL-AWADHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
130 DARTMOUTH STREET #315, BOSTON, MA 02116
(781) 654-6773
Mailing address
130 DARTMOUTH ST, APT. #315, BOSTON, MA 02116-5118
(781) 654-6773
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
9702
MA
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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