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1588734297
OMAR L GHONEIM
DORCHESTER, MA
NPI
1588734297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA 21879)
Additional Taxonomies
122300000X Dentist
(Licence: IL 019023860)
Enumeration Date
2006-11-09
Last Update Date
2011-04-18
Business Address
Dr. OMAR L GHONEIM DDS
250 MOUNT VERNON STREET
DORCHESTER, MA 02125
Phone number: 617-288-1140
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Mailing Address
Dr. OMAR L GHONEIM DDS
1135 MORTON STREET
MATTAPAN, MA 02126-2834
Phone number: 617-533-2300
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