Individual
HOUMAN GHANBARI JAMAL ABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 ASHEVILLE RD UNIT 631, CHESTNUT HILL, MA 02467-3688
(424) 230-1407
Mailing address
1284 BEACON ST APT 411, BROOKLINE, MA 02446-3731
(424) 230-1407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859963
MA
Other
Enumeration date
03/06/2023
Last updated
09/08/2023
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