Individual
MOHAMAD BEYDOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 LAKE ST, NEW BRITAIN, CT 06052-1396
(860) 224-2419
Mailing address
217 W 18TH ST STE 564, NEW YORK, NY 10011-4516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12367
CT
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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