Individual
RAYAN BAHABRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4700
Mailing address
30 PARKSIDE PL, UNIT 407, MALDEN, MA 02148-7869
(857) 210-2900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12409
MA
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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