Individual
DR. MARJAN KHODADOUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
203 TRIANGLE ST, AMHERST, MA 01002-2161
(413) 549-6270
(413) 549-6282
Mailing address
30 WEAVER CIR, AMHERST, MA 01002-4103
(413) 549-6930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19096
MA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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