Provider Demographics
NPI:1740678341
Name:ALBADRAN, FIRAS (DDS)
Entity type:Individual
Prefix:DR
First Name:FIRAS
Middle Name:
Last Name:ALBADRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 BLUE HILL AVE
Mailing Address - Street 2:HARVARD STREET NEIGHBORHOOD HEALTH CENTER, INC.
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02121-3213
Mailing Address - Country:US
Mailing Address - Phone:617-825-3400
Mailing Address - Fax:617-825-4177
Practice Address - Street 1:632 BLUE HILL AVE
Practice Address - Street 2:HARVARD STREET NEIGHBORHOOD HEALTH CENTER, INC.
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02121-3213
Practice Address - Country:US
Practice Address - Phone:617-825-3400
Practice Address - Fax:617-825-4177
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA12182122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist