Individual
AHD ALSAIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
1 KNEELAND ST STE 646, BOSTON, MA 02111-1527
(301) 693-5972
Mailing address
1 KNEELAND ST STE 646, BOSTON, MA 02111-1527
Taxonomy
Speciality
Code
Description
License number
State
125Q00000X
Oral Medicine Dentistry
Primary
DL13866
MA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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