Individual
WAEL ATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KNEELAND ST FL 12, BOSTON, MA 02111-1527
(617) 636-6888
Mailing address
1 KNEELAND ST STE 220, BOSTON, MA 02111-1527
(617) 636-6575
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN1859376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF11371
STATE LICENSE NUMBER- FACULTY DENTIST
MA
Enumeration date
08/16/2018
Last updated
06/03/2022
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