Dr. Enihomo Mary Obadan
Dental Public Health
188 Longwood Ave Harvard Dental Center
Boston
, Massachusetts 02115-5819
Dr. Enihomo Mary Obadan
Dental Public Health
188 Longwood Ave Harvard Dental Center
Boston
, Massachusetts 02115-5819
(617) 669-9633
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Enihomo Mary Obadan
- 188 Longwood Ave Harvard Dental Center
- Boston, MA
- Zip : 02115-5819
- Phone : (617) 669-9633
Second Address
- Dr. Enihomo Mary Obadan
- 188 Longwood Ave Harvard Dental Center
- Boston, MA
- Zip : 02115-5819
- Phone : (617) 669-9633
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DL11652 | MA |
National Provider Identifier
| NPI | 1760738298 |
|---|---|
| Provider Name | Dr. Enihomo Mary Obadan |
| First Address | Boston, MA 02115-5819 |
| Second Address | Boston, MA 02115-5819 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.