Individual
DR. SHATHA SUBHI AL-HARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 WASHINGTON ST, 23J, BOSTON, MA 02111-3200
(646) 428-4536
Mailing address
660 WASHINGTON STREET, J ARCHSTONE BULIDING APP#23, BOSTON, MA 02111
(646) 428-4536
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL11760
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL11760
LICENSE NUMBER
MA
Enumeration date
11/02/2012
Last updated
11/02/2012
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