Individual provider · Type 1 NPI

Abdulaziz Fahad Banasr, BDS

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1952946345 Active

Practice location

1 Kneeland St
Boston, MA 02111-1527

Call (929) 318-7874 Map

Mailing address

449 Canal St Apt 1210
Somerville, MA 02145-4377

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952946345

Abdulaziz Fahad Banasr, BDS's National Provider Identifier is 1952946345, issued on Nov 9, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Nov 9, 2019.