Provider Demographics
NPI:1831740166
Name:JOULAKH, SAAD (DMD)
Entity type:Individual
Prefix:
First Name:SAAD
Middle Name:
Last Name:JOULAKH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PINI TER
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2889
Mailing Address - Country:US
Mailing Address - Phone:857-928-7915
Mailing Address - Fax:
Practice Address - Street 1:42 WORCESTER SQ APT 11
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2920
Practice Address - Country:US
Practice Address - Phone:857-928-7915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1858496122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist