Individual
NANA AMPOMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL STUDENT (DMD)
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000935
MA
Other
Enumeration date
03/25/2024
Last updated
08/26/2025
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