Individual
DEAMAH AHMAD ALEISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-8300
Mailing address
635 ALBANY ST, BOSTON, MA 02118-3550
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL100834
MA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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