Individual
DR. ANOUSH MICHELLE LONGERSTAEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
725 ALBANY ST, BOSTON, MA 02118-3549
(617) 358-8300
Mailing address
590 FOOTHILL BLVD, SALT LAKE CITY, UT 84113-1106
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DL15610
MA
Other
Enumeration date
06/24/2022
Last updated
07/19/2023
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