Individual
MUSTAFA ZAKKOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1096 REVERE BEACH PKWY, CHELSEA, MA 02150-1454
(248) 824-4916
Mailing address
232 UNION ST, LYNN, MA 01901-1315
(248) 824-4916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021277
MI
1223G0001X
General Practice Dentistry
Primary
DN1856872
MA
Other
Enumeration date
06/11/2014
Last updated
04/23/2019
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