Dr. Alya Elgasim Elmobarik II
Dentist in Roxbury, MA. Individual provider (NPI-1).
NPI number1992458723
StatusActive
Last updated in NPPESFeb 1, 2022
Details
- NPI
- 1992458723
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alya Elgasim Elmobarik II
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2022
- Certification date
- Feb 1, 2022
- Last updated
- Feb 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DL15072 | MA | Yes |
Practice location
1290 Tremont StRoxbury, MA 02120-3432
Phone 617-206-0605
Mailing address
493 Washington St Apt 2Brighton, MA 02135-2537
Phone 617-206-0605
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All 35 Dentist providers in Roxbury · All 1,152 providers in Roxbury
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