Individual
EDWARD MASSABNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
726 WASHINGTON ST, CANTON, MA 02021-3036
(781) 821-2120
Mailing address
70 LEO M BIRMINGHAM PKWY, BOSTON, MA 02135-1128
(781) 526-5367
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000420
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2024
Last updated
08/12/2024
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