Individual
DR. AZITA KHANBODAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, 8TH FLOOR, BOSTON, MA 02111-1527
(617) 636-6971
Mailing address
15 N BEACON ST, #308, ALLSTON, MA 02134-1936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21728
MA
Other
Enumeration date
07/06/2007
Last updated
04/14/2017
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