Individual
DR. TAREQ ALSARRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, WANG 230, BOSTON, MA 02114-3117
(617) 726-2000
Mailing address
55 FRUIT ST, WANG 230, BOSTON, MA 02114-3117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0442000526
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DL100767
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2024
Last updated
06/11/2025
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