Male or Other

Dr. Homoud A. Kakooli

Prosthodontist in Boston, MA(View on Map)

Full Name

Dr. Homoud A Kakooli

NPI Number

1588423545

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/13/2024

Specialties

(Taxonomies)

Code

1223P0700X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

DL15864

Contact
Information

Purpose

Mailing
Location

Address

345 HARRISON AVE APT 837
635 ALBANY ST

City

Boston
Boston

State

MA
MA

Postal Code

02118-3080
02118-3550

Country

US
US

Telephone Number

(617) 794-0111
(617) 794-0111

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

Data last updated by provider on 03/13/2024

Provider Address

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