Individual
DR. AVA GHASSEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
209 HARVARD ST, BROOKLINE, MA 02446-5071
(617) 277-3127
Mailing address
1765 CENTRE ST, WEST ROXBURY, MA 02132-1535
(617) 327-4321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1859156
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2020
Last updated
02/08/2023
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