MOHAMED HABIB AHMED TAHA

FITCHBURG, MA
NPI1255107850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MA  DL15958)
Additional Taxonomies122300000X Dentist
(Licence: MA  DL16005)
Enumeration Date2023-11-27
Last Update Date2024-03-20
Business Address
MOHAMED HABIB AHMED TAHA
326 NICHOLS RD
FITCHBURG, MA 01420-1914
Phone number: 978-878-8100
Mailing Address
MOHAMED HABIB AHMED TAHA
1290 TREMONT ST
ROXBURY, MA 02120-3432
Phone number: 617-989-3289