Individual
MAYANK KAUSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
665 WASHINGTON ST UNIT 2501, BOSTON, MA 02111-1656
(289) 795-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL15295
MA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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