Individual
AZITA BAKHTYARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1175 MAMMOTH RD, DRACUT, MA 01826-3155
(978) 454-9332
Mailing address
1175 MAMMOTH RD, DRACUT, MA 01826-3155
(978) 454-9332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000183
MA
Other
Enumeration date
05/23/2023
Last updated
07/09/2024
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