Individual
DR. AMIR KASOUHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5210 TAYLOR POND LN, BEDFORD, MA 01730-4412
(617) 294-9285
Mailing address
5210 TAYLOR POND LN, BEDFORD, MA 01730-4412
(617) 294-9285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
27763
TX
1223G0001X
General Practice Dentistry
Primary
DN1856170
MA
Other
Enumeration date
03/11/2012
Last updated
07/28/2014
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