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
Fax: (617) 288-3910
Website:

Health care specialties

SpecialtyCodeLicense #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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