Individual provider · NPI-1

Firas Abbas

Dentist · Boston, MA

NPI number1093577603
StatusActive
Last updated in NPPESDec 3, 2024

Details

NPI
1093577603
Entity type
Individual (NPI-1)
Name
Firas Abbas
Sex
Male
Sole proprietor
No
Enumeration date
Jan 29, 2024
Certification date
Dec 3, 2024
Last updated
Dec 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN10000548MAYes

Practice location

89 E Dedham St
Boston, MA 02118-3565

Phone 617-863-7116

Mailing address

635 Albany St
Boston, MA 02118-3550

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Boston, MA