Male or Other

Dani Stanbouly

General Practice Dentistry in Mattapan, MA(View on Map)

Full Name

Dani Stanbouly

NPI Number

1710688932

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/14/2023

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

DN10000425

Contact
Information

Purpose

Mailing
Location

Address

542 RIVER STREET
542 RIVER STREET

City

Mattapan
Mattapan

State

MA
MA

Postal Code

02126
02126

Country

US
US

Telephone Number

(617) 322-9773
(617) 322-9773

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/29/2024

Provider Address

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