Individual
DR. ILYA L GARIBYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
810 MAIN ST, MELROSE, MA 02176-2711
(781) 662-6228
Mailing address
336 PLAZA RD N APT A, FAIR LAWN, NJ 07410-3640
(617) 642-1077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1858201
MA
Other
Enumeration date
06/30/2014
Last updated
01/28/2019
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