Individual
THABET HOUSAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 ALBANY STREET G-201, BOSTON, MA 02118-2392
(617) 358-3481
Mailing address
635 ALBANY STREET G-201, BOSTON, MA 02118-2392
(617) 358-3481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL14598
MA
1223E0200X
Endodontics
DL14598
MA
1223G0001X
General Practice Dentistry
Primary
DL14598
MA
Other
Enumeration date
10/12/2020
Last updated
05/03/2021
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