Individual
ELMEHDI BOUJIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
653 COLUMBIA RD, DORCHESTER, MA 02125-1712
(617) 825-9100
Mailing address
10 MEDITERRANEAN DR APT 64, WEYMOUTH, MA 02188-3809
(631) 747-5586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856075
MA
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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