Individual
NOOSHA KHADIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
50 THOMPSON RD, WEBSTER, MA 01570-1408
(508) 943-8111
Mailing address
15 MORGAN DR UNIT 301, NATICK, MA 01760-4296
(781) 243-1028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856745
MA
Other
Enumeration date
10/15/2014
Last updated
02/09/2026
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