Individual
DR. ENIHOMO MARY OBADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MPH
Contact information
Practice address
188 LONGWOOD AVE, HARVARD DENTAL CENTER, BOSTON, MA 02115-5819
(617) 669-9633
Mailing address
188 LONGWOOD AVE, HARVARD DENTAL CENTER, BOSTON, MA 02115-5819
(617) 669-9633
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DL11652
MA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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