Individual
DR. RAWAN ABDULGHANI EIDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
2 HANCOCK ST, QUINCY, MA 02171-1726
(312) 536-2908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15001
MA
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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