NPI 1417692187

Alexander Khalil

Practitioner Dental Assistant Brookline, MA

Practice location

Address: 1540 Beacon St, Brookline, MA 02446-2215
Phone: (781) 414-0495
Mailing address: 238 Lenox St, Norwood, MA 02062-3435

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence DA14036 (MA)

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Registry record

NPI: 1417692187
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2022
Record last updated: 28 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.