Individual
SAAM BOZORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 ELM ST, MANCHESTER, NH 03101-2103
(603) 556-4584
Mailing address
15 ELLERY ST APT 6, CAMBRIDGE, MA 02138-5300
(413) 575-8002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
04747
NH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1859364
MA
Other
Enumeration date
03/22/2019
Last updated
05/09/2023
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