Individual
SHAHRZAD KHORASHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
36 CHAUNCY ST, BOSTON, MA 02111-2209
(617) 338-5000
Mailing address
BOSTON DENTAL, 36 CHAUNCY ST, BOSTON, MA 02111
(617) 338-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10082
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855294
MA
Other
Enumeration date
08/13/2009
Last updated
07/21/2022
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