Individual
LIANA GHAZARYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15 ADAMS ST APT 4, WATERTOWN, MA 02472-4160
(818) 257-4795
Mailing address
15 ADAMS ST APT 4, WATERTOWN, MA 02472-4160
(818) 257-4795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855628
MA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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