Individual
ABU BAKER OBAID MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1049 MAIN ST., SPRINGFIELD, MA 01103
(413) 739-1100
Mailing address
1049 MAIN ST., SPRINGFIELD, MA 01103
(413) 739-1100
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DN1856864
MA
1223G0001X
General Practice Dentistry
Primary
011506
CT
Other
Enumeration date
06/17/2015
Last updated
10/20/2015
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