Individual
DR. EMAD FATHI ABDALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
107 EASTERN AVE, DEDHAM, MA 02026-4515
(781) 350-1001
Mailing address
72 CEDAR RD N, MEDFORD, MA 02155-1906
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21655
MA
Other
Enumeration date
10/20/2006
Last updated
06/07/2010
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