Individual
PADIDEH MOHAMMAD ALIZADEH CHAFJIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 BAYLSTON STREET APT 801, BOSTON, MA 02116
(646) 895-1312
Mailing address
62 BAYLSTON STREET APT 801, BOSTON, MA 02116
(646) 895-1312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1858136
MA
Other
Enumeration date
10/12/2018
Last updated
10/19/2018
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