Provider Demographics
NPI:1851542377
Name:ALASKAR, MANSOUR HAMAD (BDS)
Entity Type:Individual
Prefix:DR
First Name:MANSOUR
Middle Name:HAMAD
Last Name:ALASKAR
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FLORENCE ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-3907
Mailing Address - Country:US
Mailing Address - Phone:781-526-6459
Mailing Address - Fax:
Practice Address - Street 1:10 FLORENCE ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-3907
Practice Address - Country:US
Practice Address - Phone:781-526-6459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA164021223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics