Individual
DR. ABULFAZ ISAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 MARKET ST, LOWELL, MA 01852-1922
(978) 591-6408
Mailing address
375 ACORN PARK DR APT 5415, BELMONT, MA 02478-1437
(857) 333-6948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859228
MA
Other
Enumeration date
08/08/2021
Last updated
10/19/2022
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