Individual
DR. DIAA M MAHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
214 MAIN ST, MALDEN, MA 02148-6907
(781) 321-0018
(781) 321-2181
Mailing address
214 MAIN ST, MALDEN, MA 02148-6907
(781) 321-0018
(781) 321-2181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19069
MA
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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