Organization
MARIAM GHAVAMIAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM GHAVAMIAN DMD (OWNER)
(617) 738-0806
Entity
Organization
Contact information
Practice address
21 LONGWOOD AVE, BROOKLINE, MA 02446
(617) 738-0806
Mailing address
21 LONGWOOD AVE, BROOKLINE, MA 02446
(617) 738-0806
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18012
MA
Other
Enumeration date
07/19/2007
Last updated
10/12/2023
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