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Organization

WATERTOWN COSMETIC AND PEDIATRIC DENTISTRY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHATCHATOUR NORAIRI KAZARIAN D.M.D. (PRESIDENT)
(617) 755-9019
Entity
Organization

Contact information

Practice address
479 MAIN ST, WATERTOWN, MA 02472-2243
(617) 755-9019
Mailing address
479 MAIN ST, WATERTOWN, MA 02472-2243
(617) 755-9019

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21886
MA

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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