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Individual

ANHAR BASUNBUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
635 ALBANY STREET, BOSTON, MA 02118
(617) 358-8300
Mailing address
5927 ALMEDA RD UNIT 22416, HOUSTON, TX 77004-8075

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
14315
MA

Other

Enumeration date
07/01/2021
Last updated
07/01/2021
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