Individual provider · Type 1 NPI

Nabil M. Alsourani, B.D.S

Periodontics · Boston, MA

NPI number 1285871004 Active

Practice location

1 Kneeland St
Boston, MA 02111-1527

Mailing address

3920 Mystic Valley Pkwy, Apartment # 517
Medford, MA 02155-6912

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDL10508 (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 1285871004

Nabil M. Alsourani, B.D.S's National Provider Identifier is 1285871004, issued on Jan 15, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boston, MA. The record was last updated on Jan 15, 2009.