Provider Demographics
NPI:1033525258
Name:EL-HUSSEINI, MARIA (DMD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:EL-HUSSEINI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BUSWELL ST
Mailing Address - Street 2:APT. 612
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-2954
Mailing Address - Country:US
Mailing Address - Phone:617-794-0926
Mailing Address - Fax:
Practice Address - Street 1:14 BUSWELL ST
Practice Address - Street 2:APT. 612
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-2954
Practice Address - Country:US
Practice Address - Phone:617-794-0926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL12266122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist