Provider Demographics
NPI:1407332059
Name:ALAJLAN, REYOUF HAMAD
Entity Type:Individual
Prefix:MRS
First Name:REYOUF
Middle Name:HAMAD
Last Name:ALAJLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KNEELAND STREET
Mailing Address - Street 2:8TH FLOOR, PEDIATRIC DENTISTRY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-636-3898
Mailing Address - Fax:
Practice Address - Street 1:1 KNEELAND STREET
Practice Address - Street 2:8TH FLOOR, PEDIATRIC DENTISTRY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-3898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program