Individual
BAHAR HOUSHMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 HARVARD ST, BROOKLINE, MA 02446-5071
(617) 870-6511
Mailing address
108 GREENWOOD RD, ANDOVER, MA 01810-3312
(206) 225-8629
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
11808
CT
1223P0221X
Pediatric Dentistry
Primary
DN14212944
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2015
Last updated
03/27/2023
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