Provider Demographics
NPI:1932457215
Name:ALQADERI, HEND EBRAHIM (BDS)
Entity Type:Individual
Prefix:DR
First Name:HEND
Middle Name:EBRAHIM
Last Name:ALQADERI
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 BEACON ST
Mailing Address - Street 2:#3
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-2124
Mailing Address - Country:US
Mailing Address - Phone:617-953-2384
Mailing Address - Fax:
Practice Address - Street 1:1714 BEACON ST
Practice Address - Street 2:#3
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-2124
Practice Address - Country:US
Practice Address - Phone:617-953-2384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL11696122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist