Individual
MASON NAHUN HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000332
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2023
Last updated
08/06/2024
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