Individual
TANNAZ SHAPURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
77 MASSACHUSETTS AVE, E23-515, CAMBRIDGE, MA 02139-4301
(617) 253-1501
Mailing address
77 MASSACHUSETTS AVE, E23-515, CAMBRIDGE, MA 02139-4301
(617) 253-1501
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18175
MA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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