Individual
DR. MARIAM GHAVAMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1247 BEACON ST, BROOKLINE, MA 02446-5273
(617) 738-0806
(617) 232-8933
Mailing address
1247 BEACON ST, BROOKLINE, MA 02446-5273
(617) 738-0806
(617) 232-8933
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18012
MA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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