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Individual

ALAA ALRABABA I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
125 EDGEMERE ROAD, 202, WEST ROXBURY, MA 02132
(617) 825-3400
Mailing address
125 EDGEMERE RD, #202, WEST ROXBURY, MA 02132-5300

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL12142
MA

Other

Enumeration date
04/13/2015
Last updated
04/13/2015
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