Individual
ISSA HAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
366 SALEM ST, MEDFORD, MA 02155-3307
(781) 733-9378
Mailing address
1650 COMMONWEALTH AVE APT 405, BRIGHTON, MA 02135-5632
(561) 699-2138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000577
MA
Other
Enumeration date
09/12/2024
Last updated
10/14/2024
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