Individual provider · NPI-1

Taym Almetwali, DMD

Dentist · Lebanon, NH

NPI number1104591502
StatusActive
Last updated in NPPESJan 3, 2025

Details

NPI
1104591502
Entity type
Individual (NPI-1)
Name
Taym Almetwali
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2021
Certification date
Jan 3, 2025
Last updated
Jan 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN1859722MAYes
1223G0001X Dentist, General Practice04681NH

Practice location

367 Route 120 Unit C
Lebanon, NH 03766-1430

Phone 603-782-0329

Mailing address

12 Post Office Sq
Boston, MA 02109-3924

Phone 603-782-0329

Other practice locations

12 Post Office Sq
Boston, MA 02109-3924

Phone 212-686-3686

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