Individual
AMMAR ASALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KNEELAND ST FL 8, BOSTON, MA 02111-1527
(617) 636-6971
Mailing address
28 BRAINARD AVE, APT 201, MEDFORD, MA 02155-5123
(786) 266-2745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11978
MA
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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