Individual
HAMIDREZA FAKHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 HANCOCK ST, QUINCY, MA 02169-4342
(617) 773-4144
Mailing address
17 GREENLEAF ST APT 9, QUINCY, MA 02169-4442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856700
MA
Other
Enumeration date
09/03/2014
Last updated
03/17/2018
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