Male or Other

Dr. Bahaa Rizkalla D.D.S.

General Practice Dentistry in Plymouth, MA(View on Map)

Full Name

Dr. Bahaa Rizkalla D.D.S.

NPI Number

1083639223

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/12/2006

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

12930

Contact
Information

Purpose

Mailing
Location

Address

24 NORTH ST
24 NORTH ST

City

Plymouth
Plymouth

State

MA
MA

Postal Code

02360-3382
02360-3382

Country

US
US

Telephone Number

(508) 746-1840
(508) 746-1840

Identifiers

Identifier

38120
X11381

Identifier State

MA
MA

Identifier Issuer

HARVARD PILGRIM
BLU CROSS OF MA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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