Individual
FNU MOHAMMED BASEER AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
113 TERRACE HALL AVE, BURLINGTON, MA 01803-3416
(781) 221-7171
Mailing address
103 LEXINGTON ST, BURLINGTON, MA 01803-4509
(201) 417-8417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859629
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2022
Last updated
01/25/2023
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