Individual
DR. TAIBA ALSARRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4700
Mailing address
780 BOYLSTON ST APT 5G, BOSTON, MA 02199-7804
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
BB1832268PTA1
MA
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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