Provider Demographics
NPI:1164430930
Name:LABIB, IMAN SAAD (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:IMAN
Middle Name:SAAD
Last Name:LABIB
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SALEM ST
Mailing Address - Street 2:BLDG. A
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940
Mailing Address - Country:US
Mailing Address - Phone:781-245-8828
Mailing Address - Fax:781-224-1158
Practice Address - Street 1:5 LONGFELLOW PLACE
Practice Address - Street 2:SUITE 205
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-742-3525
Practice Address - Fax:617-742-6911
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA191511223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics