Individual
DR. GOLNAZ MOVAFAGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
DAVID M. LEADER DMD PC, 389 MAIN STREET, #403, MALDEN, MA 02148
(781) 397-9229
(781) 397-9251
Mailing address
1 AVERY ST, APARTMENT 17D, BOSTON, MA 02111-1022
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202142
—
MA
Enumeration date
04/06/2007
Last updated
07/09/2007
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