Individual
DR. HOMOUD A KAKOOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 794-0111
Mailing address
345 HARRISON AVE APT 837, BOSTON, MA 02118-3080
(617) 794-0111
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL15864
MA
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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