Individual
MANAR AL NUWAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 FRONT ST, CHICOPEE, MA 01013-3140
(413) 420-2222
Mailing address
1820 NORTHAMPTON ST, HOLYOKE, MA 01040-1923
(413) 536-1782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859436
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2022
Last updated
04/18/2024
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