Individual provider · NPI-1

David Abdelmalak, D.D.S.

Dentist, Endodontics · Boston, MA

NPI number1497156889
StatusActive
Last updated in NPPESSep 4, 2014

Details

NPI
1497156889
Entity type
Individual (NPI-1)
Name
David Abdelmalak
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 4, 2014
Last updated
Sep 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, EndodonticsDL12360MAYes

Practice location

188 Longwood Ave
Boston, MA 02115-5819

Phone 617-432-1000

Mailing address

188 Longwood Ave
Boston, MA 02115-5819

Phone 617-432-1000

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