Individual provider · NPI-1
Eslam M Abdelwahab, DMD
Dentist · Boston, MA
NPI number1447912894
StatusActive
Last updated in NPPESFeb 10, 2023
Details
- NPI
- 1447912894
- Entity type
- Individual (NPI-1)
- Name
- Eslam M Abdelwahab
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2021
- Certification date
- Feb 10, 2023
- Last updated
- Feb 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 38089 | TX | Yes |
Practice location
100 E Newton StreetDept Of General Dentistry
Boston, MA 02118
Phone 617-358-8300
Mailing address
601 Trail Lake DrRichardson, TX 75081-3555
Phone 908-727-2418
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