Individual
DR. ASHIANA JIVRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 MAIN ST, PEABODY, MA 01960-5509
(978) 422-1152
Mailing address
204 NORFOLK ST UNIT 1, CAMBRIDGE, MA 02139-1423
(609) 571-0872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859158
MA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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