Individual
RUSSEL SHARIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1070 IYANNOUGH RD STE A20, HYANNIS, MA 02601-8111
(608) 361-8933
Mailing address
995 SOUTHERN ARTERY APT 612, QUINCY, MA 02169-8407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000310
MA
Other
Enumeration date
05/28/2024
Last updated
06/26/2024
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