Organization
MARIAM GHAVAMIAN DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM GHAVAMIAN DMD, PC (OWNER)
(617) 738-0806
Entity
Organization
Contact information
Practice address
1247 BEACON ST, BROOKLINE, MA 02446-5273
(617) 738-0806
Mailing address
1247 BEACON ST, BROOKLINE, MA 02446-5273
(617) 738-0806
(617) 232-8933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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