| Mazdenta Advanced Dentistry Pllc | |
|
1 Trowbridge Rd Ste 7 Bourne MA 02532-3662 | |
| (508) 759-7200 | |
| Not Available |
| Full Name | Mazdenta Advanced Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Trowbridge Rd Ste 7, Bourne, Massachusetts |
| Authorized Official Name and Position | Khosrow Dinyaryan (DMD) |
| Authorized Official Contact | 8572501515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazdenta Advanced Dentistry Pllc 12 Jeremiah Cir Medford MA 02155-1676 Ph: (857) 250-1515 | Mazdenta Advanced Dentistry Pllc 1 Trowbridge Rd Ste 7 Bourne MA 02532-3662 Ph: (508) 759-7200 |
| NPI Number | 1790668770 |
|---|---|
| Provider Enumeration Date | 07/28/2025 |
| Last Update Date | 07/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790668770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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