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Individual

WADDAH M ALKHOULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
100 E NEWTON ST, 2ND FLOOR, BOSTON, MA 02118-2308
(617) 638-4700
Mailing address
10 OVERLOOK RIDGE DR, UNIT#245, MALDEN, MA 02148-4711
(617) 775-8547

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL12141
MA

Other

Enumeration date
02/24/2014
Last updated
02/24/2014
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