Individual
MAHMOUD ELDAFRAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
137 HATHAWAY RD, NEW BEDFORD, MA 02746-1304
(774) 425-0613
Mailing address
137 HATHAWAY RD, NEW BEDFORD, MA 02746-1304
(774) 425-0613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859522
MA
1223G0001X
General Practice Dentistry
016.0133920
VT
1223G0001X
General Practice Dentistry
2901601264
MI
1223G0001X
General Practice Dentistry
Primary
DN1859522
MA
Other
Enumeration date
10/08/2019
Last updated
08/22/2022
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