Carlos Abboud Valid NPI
Individual provider · Periodontics · Quincy, MA
- NPI
- 1518158591
- Type
- Individual (Type 1)
- Primary specialty
- Periodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0300X
- License number
- 19683 (MA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-08-06
- Last updated
- 2007-08-06
Practice location
333 Ricciuti Dr., Suite 1003
Quincy, MA 02169
(909) 289-9034