Individual
ALWALEED ALEISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-8300
Mailing address
333 GREAT RIVER RD, SOMERVILLE, MA 02145-1216
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL100406
MA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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