Individual
YANA AMIRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11 LINCOLN ST, HUDSON, MA 01749-2115
(978) 562-2042
Mailing address
11 LINCOLN ST, HUDSON, MA 01749-2115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21817
MA
1223G0001X
General Practice Dentistry
052776
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052776
DELTA
NY
Enumeration date
10/23/2006
Last updated
03/07/2023
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