Individual
TALA TARIQ AL-BAJJALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1255B HANCOCK ST, QUINCY, MA 02169-4342
(617) 773-4144
Mailing address
426 JOHN MAHAR HWY, BRAINTREE, MA 02184-6581
(401) 603-7884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857613
MA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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