Individual
ALAA BUKHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 STATION LNDG, #526, MEDFORD, MA 02155-5127
(857) 272-4535
Mailing address
75 STATION LNDG, #526, MEDFORD, MA 02155-5127
(857) 272-4535
Taxonomy
Speciality
Code
Description
License number
State
125Q00000X
Oral Medicine Dentistry
Primary
DL13039
MA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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