Individual
HAIAM EDABASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-8300
Mailing address
3 RAVINE TER, MELROSE, MA 02176-3615
(313) 766-3443
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL100181
MA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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