Individual
MARIAH MATINIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 COURT ST, BOSTON, MA 02108-2100
(617) 402-5000
Mailing address
665 WASHINGTON ST UNIT 1316, BOSTON, MA 02111-1645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000660
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2024
Last updated
08/05/2025
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