Individual
IHAM GAMMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
550 N MAIN ST, A, ATTLEBORO, MA 02703-1735
(508) 222-2510
Mailing address
263 HUNTINGTON AVE, 146, BOSTON, MA 02115-4506
(617) 710-5072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21981
MA
Other
Enumeration date
09/28/2007
Last updated
09/29/2011
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