Individual
DR. BOULOS H HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
250 TRAPELO RD, BELMONT, MA 02478-1849
(617) 489-1900
Mailing address
250 TRAPELO RD, BELMONT, MA 02478-1849
(617) 489-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18340
MA
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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