Individual
ASLAN TANGESTANIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 CROSS ST, GARDNER, MA 01440-2213
(978) 632-5659
Mailing address
761 HARRISON AVE APT 314, BOSTON, MA 02118-2363
(437) 247-5821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859965
MA
Other
Enumeration date
03/09/2023
Last updated
09/28/2023
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