Individual
TIBA ALRAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 BOYLSTON ST APT 322, BOSTON, MA 02116-4798
(561) 404-3733
Mailing address
62 BOYLSTON ST APT 322, BOSTON, MA 02116-4798
(561) 404-3733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000386
MA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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