Individual
DR. MANI MOULAZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
93 UNION ST, SUITE 410, NEWTON, MA 02459-2244
(617) 559-3636
Mailing address
93 UNION ST, SUITE 410, NEWTON, MA 02459-2244
(617) 559-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
20442
MA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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