Individual
MARIAM ALI DAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTIST
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02111
(617) 358-8300
Mailing address
660 WASHINGTON ST APT 16D, BOSTON, MA 02111-3228
(617) 650-5596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859161
MA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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