Individual
DR. MANDANA MIRESMAILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
302 CENTRAL ST, SAUGUS, MA 01906-2389
(781) 233-0344
(781) 233-0344
Mailing address
65 E INDIA ROW, BOSTON, MA 02110-3308
(617) 680-2441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20159
MA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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