| Mariam Ghavamian Dmd Pc | |
|
21 Longwood Ave Brookline MA 02446 | |
| (617) 738-0806 | |
| Not Available |
| Full Name | Mariam Ghavamian Dmd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 21 Longwood Ave, Brookline, Massachusetts |
| Authorized Official Name and Position | Mariam Ghavamian (OWNER) |
| Authorized Official Contact | 6177380806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Ghavamian Dmd Pc 21 Longwood Ave Brookline MA 02446 Ph: (617) 738-0806 | Mariam Ghavamian Dmd Pc 21 Longwood Ave Brookline MA 02446 Ph: (617) 738-0806 |
| NPI Number | 1275733263 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275733263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 18012 (Massachusetts) | Primary |
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