Individual
OMER ELRAYAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-0950
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 442-4088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123456
MA
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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