Ghoneim, Omar L
Ghoneim, Omar L is an individual health care provider with primary practice located at 250 Mount Vernon Street , Dorchester MA 02125. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ghoneim, Omar L can be contacted via phone (617) 288-1140.Contact Information
Primary practice address
250 Mount Vernon Street
Dorchester MA 02125
Phone: (617) 288-1140
Fax: (617) 288-3910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 019023860 | Illinois |
Dental Providers / Dentist | 122300000X | 21879 | Massachusetts |
Profile Details
NPI number | 1588734297 |
---|---|
LBN Legal business name | Ghoneim, Omar L |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2006 |
Last updated | Apr 18th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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