Individual
TAHANI BADEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
665 WASHINGTON ST PH 27L, BOSTON, MA 02111-1659
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15861
MA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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