DR. Moataz Mohammed Shaban, BDS, DMD

NPI #1518127612 in Indian Orchard, Massachusetts

Provider Information

NPI Number: 1518127612
Entity Type: Individual
Name: DR. Moataz Mohammed Shaban, BDS, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: BDS, DMD
Enumeration Date: Jun 11, 2008
Last Updated: Jun 11, 2008

Practice Location

Address: 439 MAIN ST STE A
City: Indian Orchard
State: Massachusetts
ZIP Code: 01151-1239
Phone: (413) 543-1202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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