Individual
ALI MOHAMAD KHIBLIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
100 E NEWTON ST, 7TH FLOOR, BOSTON, MA 02118-2308
(617) 638-4636
Mailing address
68 WASHINGTON ST, APTT # 11, MALDEN, MA 02148-8200
(781) 475-3646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL10851
MA
Other
Enumeration date
01/18/2010
Last updated
01/20/2010
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