Individual provider · Type 1 NPI

Waddah M. Alkhouly, DDS

Periodontics · Boston, MA

NPI number 1043635311 Active

Practice location

100 E Newton St, 2nd Floor
Boston, MA 02118-2308

Mailing address

10 Overlook Ridge Dr, UNIT#245
Malden, MA 02148-4711

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDL12141 (MA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1043635311

Waddah M. Alkhouly, DDS's National Provider Identifier is 1043635311, issued on Feb 24, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boston, MA. The record was last updated on Feb 24, 2014.