Provider Demographics
NPI:1730497546
Name:ALASQAH, MOHAMMED NASSER (BDS)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:NASSER
Last Name:ALASQAH
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:160 PLEASANT ST
Mailing Address - Street 2:APT 513
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4832
Mailing Address - Country:US
Mailing Address - Phone:857-222-8438
Mailing Address - Fax:
Practice Address - Street 1:1 KNEELAND ST
Practice Address - Street 2:DEPARTMENT OF PERIODONTOLOGY ,TUFTS DENTAL SCHOOL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1527
Practice Address - Country:US
Practice Address - Phone:857-222-8438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL11101122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist