Individual
BAHAREH KIABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
66 DEVIR ST APT 201, MALDEN, MA 02148-7235
(617) 480-4142
Mailing address
66 DEVIR ST APT 201, MALDEN, MA 02148-7235
(617) 480-4142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858829
MA
Other
Enumeration date
10/04/2020
Last updated
01/27/2021
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