Individual
SARA MARYAM HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 ALBANY ST # G744, BOSTON, MA 02118-3550
(617) 358-3446
Mailing address
725 HARRISON AVE UNIT E104, BOSTON, MA 02118-2683
(339) 222-2621
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1859495
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2022
Last updated
12/12/2024
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