Individual
BUSHRA ALJAHDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 ALBANY ST FL 3, BOSTON, MA 02118-2518
(617) 358-8300
Mailing address
650 ALBANY ST FL 3, BOSTON, MA 02118-2518
(617) 358-8300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL14140
MA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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