Individual ProviderHani Saud AlmoharibStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland Street,, 12th Floor Periodontology, Boston, MA 02111(617) 636-6531PECOS EnrollmentBased on the most recent information from CMS, provider Hani Saud Almoharib does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1952783284Provider TypeIndividualFull NameAlmoharib, Hani SaudCredentialB.D.S.GenderMaleSole ProprietorNoEnumeration Date6/23/2015Last Updated1/15/2016Contact InformationPractice LocationPractice Address1 Kneeland Street,, 12th Floor Periodontology, Boston, MA 02111Phone(617) 636-6531FaxUnlisted FaxMailing LocationMailing Address1 Kneeland Street,, 12th Floor Periodontology, Boston, MA 02111Phone(617) 636-6531FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer