Individual
MAHNAZ RAISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-9832
(781) 581-9583
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-9832
(781) 581-9583
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL13810
MA
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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