Individual
DR. ALYAA AL-DOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
150 BROOKLINE AVE, BOSTON, MA 02215-3930
(857) 265-8533
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DL13398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
863066177
DRIVER LICENSE
NY
01
—
DL13398
LIMITED LICENSE NUMBER
MA
Enumeration date
09/19/2017
Last updated
09/19/2017
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