Individual
MAY ALAIDROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6591
Mailing address
1 KNEELAND ST # 1242, BOSTON, MA 02111-1527
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL13070
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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