Individual provider · NPI-1

Dr. Ali Abdallah, BDS, CAGS, DScD, FAC

Dentist, Prosthodontics · Boston, MA

NPI number1104499466
StatusActive
Last updated in NPPESApr 18, 2024

Details

NPI
1104499466
Entity type
Individual (NPI-1)
Name
Dr. Ali Abdallah
Credential
BDS, CAGS, DScD, FAC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 22, 2021
Certification date
Apr 18, 2024
Last updated
Apr 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, ProsthodonticsDF12020MAYes

Practice location

930 Commonwealth Ave
Boston, MA 02215-1274

Phone 617-358-1000

Mailing address

100 E Newton St # G203
Boston, MA 02118-3552

Phone 617-283-3041

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