Individual
DR. LILY RAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
55 TRAVELER ST APT 1001, BOSTON, MA 02118-2969
(703) 349-9831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859018
MA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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