Individual
DR. BEHZAD MOSTOUFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 HARRISON AVE # ACC5, BOSTON, MA 02118-2905
(617) 414-4971
Mailing address
820 HARRISON AVE # ACC5, BOSTON, MA 02118-2905
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DL10537
MA
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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