Individual
KHALED MOHAMED ASAAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-0950
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(312) 504-8480
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DL14498
MA
1223P0221X
Pediatric Dentistry
Primary
DL15167
MA
Other
Enumeration date
03/27/2019
Last updated
05/04/2022
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