Individual
AMIRA MOTTAWEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
40 SCHOOL ST APT E, BRIGHTON, MA 02135-1437
(347) 429-4290
Mailing address
40 SCHOOL ST APT E, BRIGHTON, MA 02135-1437
(347) 429-4290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857413
MA
1223G0001X
General Practice Dentistry
Primary
DN1857413
MA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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