Individual
SAHAR GHODSI BOUSHEHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 RIVERS EDGE DR APT 308, MEDFORD, MA 02155-5493
(747) 216-8075
Mailing address
150 RIVERS EDGE DR APT 308, MEDFORD, MA 02155-5493
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
DL100824
MA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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