Individual
DR. RAHMAN ULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
PARK AVE DENTAL CENTER, 456 PARK AVENUE, WORCHESTER, MA 01610
(508) 799-4555
Mailing address
63 SHERMAN ST, CANTON, MA 02021-2225
(617) 462-0116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22086
MA
1223G0001X
General Practice Dentistry
P58401
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN22086
MA
Other
Enumeration date
05/07/2008
Last updated
02/01/2019
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