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Individual
ALEXANDER KHALIL
Active
Individual
ALEXANDER KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DA14036
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA14036
MASSACHUSETTS BOARD OF DENTISTRY
MA
Enumeration date
04/28/2022
Last updated
04/28/2022
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