Individual
SARY BORZANGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-7304
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL11406
DENTAL LISENCE
MA
Enumeration date
08/29/2011
Last updated
08/29/2011
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