Individual
MISS MANAR ALGHANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S.
Contact information
Practice address
1 KNEELAND ST 8TH FLOOR PEDIATRIC DEPARTMENT, TUFTS DENTAL HOSPITAL, BOSTON, MA 02111
(617) 636-6971
(617) 636-3473
Mailing address
1 KNEELAND ST 8TH FLOOR (PEDIATRIC DEPT.), TUFTS DENTAL HOSPITAL, BOSTON, MA 02111
(617) 636-6971
(617) 636-3473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12406
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2014
Last updated
02/18/2015
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