| Dr Shibly D Malouf Jr, DDS | |
|
366 Broadway, Suite 100, Somerville, MA 02145-2812 | |
| (617) 628-8000 | |
| (617) 628-2370 |
| Full Name | Dr Shibly D Malouf Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 366 Broadway, Somerville, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053489682 | NPI | - | NPPES |
| Y03044 | Other | MA | BS |
| 009637 | Other | TUFTS | |
| 0223573 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9637 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shibly D Malouf Jr, DDS 366 Broadway Suite 100, Somerville, MA 02145-2812 Ph: (617) 628-8000 | Dr Shibly D Malouf Jr, DDS 366 Broadway, Suite 100, Somerville, MA 02145-2812 Ph: (617) 628-8000 |
Shahram Moghaddam, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 396 Highland Ave, Somerville, MA 02144 Phone: 617-776-2323 | |
Yousef Sidki, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 College Ave, Somerville, MA 02144 Phone: 617-764-2247 | |
Mohammad Hossein Dashti, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 402 Washington St, Somerville, MA 02143 Phone: 617-666-4444 Fax: 617-666-1113 | |
Dr. Theoni A Kazou, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 402 Washington St, Somerville, MA 02143 Phone: 617-666-4444 Fax: 617-666-1113 | |
Priyadarshini Raju, Dentist Medicare: Medicare Enrolled Practice Location: 18 Adrian St, Apt 1, Somerville, MA 02143 Phone: 617-899-5217 | |
Dr. Gloria Chao, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14 Mcgrath Hwy, Somerville, MA 02143 Phone: 617-623-4500 |