IndividualActive
Alexander Khalil
NPI 1417692187 · Dental Assistant · Brookline, MA
Provider details
- NPI number
- 1417692187
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DA14036 (MA)
Specialties & taxonomies
Dental Providers
Practice location
1540 Beacon St
Brookline, MA 02446-2215
Phone: (781) 414-0495
Approximate (ZIP-level) locationGet directions
Mailing address
238 Lenox St
Norwood, MA 02062-3435
Registry dates
- Enumerated
- 2022-04-28
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.