Individual
FERNANDA BEHZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
364 HARVARD ST # 1C, BROOKLINE, MA 02446-2920
(617) 232-6188
Mailing address
99 E DEDHAM ST APT 205, BOSTON, MA 02118-5010
(561) 542-9946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000233
MA
Other
Enumeration date
06/26/2023
Last updated
08/09/2024
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