Individual
NICOLAS BALTAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(978) 327-5151
Mailing address
16 FRANKLIN ST, NORTH BILLERICA, MA 01862-1442
(978) 944-5561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859931
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2023
Last updated
08/04/2023
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