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Contact Information

KHALED M ASAAD, BDS
45 DIMOCK ST
ROXBURY, MA02119-1208
 Phone: 617-442-8800
 Fax: 617-541-0950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for KHALED M ASAAD · (Male)

NPI # 1295296671
Status Active
Credentials BDS
Entity Individual
Enumeration date 03/27/2019
Last updated 05/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # DL14498
  • MA License # DL15167
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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