Individual
ABDULWAHAB TALAT AL TIKRITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 CROWN DR UNIT 101, QUINCY, MA 02169-5474
(469) 345-5392
Mailing address
1 CROWN DR UNIT 101, QUINCY, MA 02169-5474
(469) 345-5392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859053
MA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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