Individual
MARYAM MAGHSOUDLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BRIDGE ST, LOWELL, MA 01850-1293
(978) 455-7056
Mailing address
3920 MYSTIC VALLEY PKWY APT 109, MEDFORD, MA 02155-6900
(857) 707-5144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857773
MA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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