Individual
DR. ALI KHODADAD-HOSSAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
635 ALBANY STREET, SUITE G-446, BOSTON, MA 02118
(617) 414-7558
Mailing address
635 ALBANY STREET, SUITE G-446, BOSTON, MA 02118
(617) 414-7558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
10/16/2021
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