Individual
DIANE ALHAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
879 MAIN ST, WALTHAM, MA 02451-7414
(781) 850-2361
Mailing address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000972
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
01/23/2026
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