Individual
AMAL KHARBOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
319 LYNNWAY, LYNN, MA 01901-1811
(781) 599-5437
(781) 599-5436
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27417
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1855574
MA
Other
Enumeration date
01/28/2011
Last updated
02/23/2022
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