Organization
JAVAD MIRZAI DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVAD MIRZAI DMD (DOCTOR/OWNER)
(617) 877-5884
Entity
Organization
Contact information
Practice address
38 EXCHANGE ST, ATHOL, MA 01331-1812
(617) 877-5884
Mailing address
234 W MAIN ST, WESTBOROUGH, MA 01581-3823
(617) 877-5884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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