Individual
SAMAH BUKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST FL 11, BOSTON, MA 02111-1527
(617) 636-6796
Mailing address
1 KNEELAND ST FL 11, BOSTON, MA 02111-1527
(617) 636-6796
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DF11458
MA
1223G0001X
General Practice Dentistry
DL12752
MA
Other
Enumeration date
09/23/2015
Last updated
09/17/2019
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