Organization
NABIL R. IBRAHIM B.D.S., D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL R IBRAHIM B.D.S., D.D.S. (OWNER)
(781) 729-1159
Entity
Organization
Contact information
Practice address
10 CONVERSE PL STE 102, WINCHESTER, MA 01890-2713
(781) 729-1159
Mailing address
10 CONVERSE PL STE 102, WINCHESTER, MA 01890-2713
(781) 729-1159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19668
MA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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