Individual
BADR HEFNAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3033 WASHINGTON ST, ROXBURY, MA 02119-1227
(312) 274-4550
Mailing address
701 MASSACHUSETTS AVE APT 2, BOSTON, MA 02118-4060
(716) 615-9929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1860006
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2023
Last updated
10/11/2023
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