Individual
MARYAM MOGHTADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
480 BOSTON RD UNIT 114, BILLERICA, MA 01821-2707
(978) 330-3400
Mailing address
20 HARRINGTON RD, FRAMINGHAM, MA 01701-2642
(860) 978-3186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858667
MA
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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