Individual
SASHA MOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
35 BEDFORD ST STE 20, LEXINGTON, MA 02420-4440
(781) 590-6703
Mailing address
4511 W 191ST ST, STILWELL, KS 66085-8889
(913) 220-7495
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0401418626
VA
1223P0300X
Periodontics
05253
NH
1223P0300X
Periodontics
Primary
DN10001040
MA
1223P0300X
Periodontics
DS044461
PA
Other
Enumeration date
06/05/2018
Last updated
07/28/2025
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