Individual
AZADEH SHAHAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 NASHUA RD, DRACUT, MA 01826-1955
(781) 277-7294
Mailing address
505 NASHUA RD, DRACUT, MA 01826-1955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856317
MA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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