Individual
SHADBEH N TAGHIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 BROADWAY STE 6&7, RAYNHAM, MA 02767-1439
(508) 880-5891
Mailing address
75 CAMBRIDGE PKWY UNIT E511, CAMBRIDGE, MA 02142-1239
(339) 223-0774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859125
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1859125
MA
Other
Enumeration date
07/28/2021
Last updated
08/31/2021
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