Individual
ABDULLAH ABDULRAHMAN ALBASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11419
MA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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