Individual
AFSANEH SHAHROKHI RAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.SC
Contact information
Practice address
188 LONGWOOD AVE, HARVARD SCHOOL OF DENTAL MEDICINE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL12397
MA
Other
Enumeration date
09/08/2014
Last updated
03/10/2016
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