Organization
AU BLANC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK P SHAIB DMD (OWNER DENTIST)
(781) 235-6616
Entity
Organization
Contact information
Practice address
1 HOLLIS ST STE 140, WELLESLEY, MA 02482-4690
(781) 235-6616
Mailing address
1 HOLLIS ST STE 140, WELLESLEY, MA 02482-4690
(781) 235-6616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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