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Marwa Elleboudy, BDS,LD
Student in an Organized Health Care Education/Training Program in Provincetown, Massachusetts
NPI 1225457567

Marwa Elleboudy is a Student in an Organized Health Care Education/Training Program based in Wellfleet, MA. Marwa Elleboudy practices in Provincetown, MA and has the professional credentials of BDS,LD. The NPI Number for Marwa Elleboudy is 1225457567 and holds a License No. DL12170 (Massachusetts).

The current practice location address for Marwa Elleboudy is 49 Harry Kemp Way, Provincetown, MA and can be reached out via phone at 508-487-9395 and via fax at 508-487-3285.

Location: 49 Harry Kemp Way, Provincetown, MA, 02667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225457567
Provider Name
Marwa Elleboudy
Credential
BDS,LD
Provider Entity Type
Individual
Gender
Female
Address
49 Harry Kemp Way, Provincetown, MA, 02667
Phone Number
508-487-9395
Fax Number
508-487-3285
Provider Enumeration Date
04/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
49 Harry Kemp Way
City
Provincetown
State
Massachusetts
Zip
02657
Phone Number
508-487-9395
Fax Number
508-487-3285
person
Provider Business Mailing Address Details
Address
49 Harry Kemp Way
City
Provincetown
State
Massachusetts
Zip
02657
Phone Number
508-487-9395
Fax Number
508-487-3285
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DL12170 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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