Individual
DR. MORTEZA A YAZDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
131 CAMBRIDGE ST STE 1, BURLINGTON, MA 01803-3711
(781) 229-2220
(781) 229-0258
Mailing address
131 CAMBRIDGE ST STE 1, BURLINGTON, MA 01803-3711
(781) 229-2220
(781) 229-0258
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297828
MASS HEALTH
MA
05
—
110011979B
—
MA
Enumeration date
08/09/2006
Last updated
06/22/2020
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