Individual
DR. AZITA NEGAHBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
529 MAIN STREET, SUITE 209, CHARLESTOWN, MA 02129
(617) 241-9220
Mailing address
529 MAIN ST, SUITE 209, CHARLESTOWN, MA 02129
(617) 241-9220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19433
MA
Other
Enumeration date
11/20/2006
Last updated
10/01/2024
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