Individual provider · NPI-1

Yazan Abou Zakhem

Dentist · Worcester, MA

NPI number1841807104
StatusActive
Last updated in NPPESSep 29, 2020

Details

NPI
1841807104
Entity type
Individual (NPI-1)
Name
Yazan Abou Zakhem
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2020
Certification date
Sep 29, 2020
Last updated
Sep 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN1858834MAYes

Practice location

1438 Grafton St
Worcester, MA 01604-2721

Phone 508-753-5488

Mailing address

5 Constitution Ct Apt 222
Hopkinton, MA 01748-2924

Phone 201-640-1046

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