Individual
DR. NISREEN TAKULLA-KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
80 HIGH ST UNIT 4, MEDFORD, MA 02155-3872
(781) 739-3839
Mailing address
80 HIGH ST UNIT 4, MEDFORD, MA 02155-3872
(781) 739-3839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855907
MA
Other
Enumeration date
05/05/2011
Last updated
06/17/2024
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