Individual
JAD MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MAIN ST STE 206, MEDFORD, MA 02155-4530
(781) 395-5545
Mailing address
101 MAIN ST STE 206, MEDFORD, MA 02155-4530
(781) 395-5545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858810
MA
Other
Enumeration date
04/11/2019
Last updated
01/12/2021
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