Organization · NPI-2

Ak Dental Practice PC

Dentist · Cambridge, MA

NPI number1568680205
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1568680205
Entity type
Organization (NPI-2)
Legal business name
Ak Dental Practice PC
Organization subpart
No
Enumeration date
Apr 20, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist18827MAYes

Other names

  • Goldstone,khalil & Assc (Doing Business As)

Practice location

20 Hurley St
Cambridge, MA 02141-2111

Phone 617-491-1403 · Fax 617-491-5648

Mailing address

20 Hurley St
Cambridge, MA 02141-2111

Phone 617-491-1403 · Fax 617-491-5648

Authorized official

Mustafa Ahed Khalil
Owner
6174911403

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