Nabil R. Ibrahim B.d.s., D.d.s., Pllc | |
10 Converse Pl Ste 102 Winchester MA 01890-2713 | |
(781) 729-1159 | |
Not Available |
Full Name | Nabil R. Ibrahim B.d.s., D.d.s., Pllc |
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Speciality | Clinic/center - Dental |
Location | 10 Converse Pl Ste 102, Winchester, Massachusetts |
Authorized Official Name and Position | Nabil R Ibrahim (OWNER) |
Authorized Official Contact | 7817291159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nabil R. Ibrahim B.d.s., D.d.s., Pllc 10 Converse Pl Ste 102 Winchester MA 01890-2713 Ph: (781) 729-1159 | Nabil R. Ibrahim B.d.s., D.d.s., Pllc 10 Converse Pl Ste 102 Winchester MA 01890-2713 Ph: (781) 729-1159 |
NPI Number | 1720560543 |
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Provider Enumeration Date | 08/29/2018 |
Last Update Date | 08/29/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720560543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 19668 (Massachusetts) | Primary |
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Thomas D. Russo, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shore Rd Ste 13, Winchester, MA 01890 Phone: 781-721-4700 Fax: 781-729-0798 | |
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