Individual
AMR BUGSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDD, PHD
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(443) 858-2817
Mailing address
12 QUARRY LN, APT# 3416, MALDEN, MA 02148-7766
Taxonomy
Speciality
Code
Description
License number
State
125Q00000X
Oral Medicine Dentistry
Primary
DL12914
MA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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