Individual
DR. NABIL M ALSOURANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.D.S
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6531
Mailing address
3920 MYSTIC VALLEY PKWY, APARTMENT # 517, MEDFORD, MA 02155-6912
(781) 475-2778
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL10508
MA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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