Individual
FARIS KHALIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KNEELAND STREET, 8TH FLOOR, BOSTON, MA 02111-1527
(617) 636-6678
(617) 636-6582
Mailing address
1 KNEELAND STREET, 1419E, BOSTON, MA 02111-1527
(617) 636-6505
(617) 636-6582
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL14554
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2019
Last updated
05/19/2021
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