DR. Alya Elgasim Elmobarik II

NPI #1992458723 in Roxbury, Massachusetts

Provider Information

NPI Number: 1992458723
Entity Type: Individual
Name: DR. Alya Elgasim Elmobarik II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Feb 1, 2022
Last Updated: Feb 1, 2022

Practice Location

Address: 1290 TREMONT ST
City: Roxbury
State: Massachusetts
ZIP Code: 02120-3432
Phone: (617) 206-0605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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