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NPI Code Detail

MEDICARE: DR. AHMAD AL BARDAN DMD

MEDICARE:  DR. AHMAD  AL BARDAN  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN1859994MA

General Provider Information

NPI Number : 1952081234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AHMAD AL BARDAN DMD
Provider Business Mailing Address
First Line : 1 ROCK ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2321
Country : US
Telephone Number : 508-947-4411
Fax Number :
Provider Business Practice Location Address
First Line : 1 ROCK ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2321
Country : US
Telephone Number : 508-947-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2023
Last Update Date : 03/08/2024

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Directions to “ DR. AHMAD AL BARDAN DMD” Practice Location

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