Individual
HAYAM ABOUSEOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
110 BEVERLY ST APT 631, BOSTON, MA 02114-2257
(224) 830-5865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL14986
MA
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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