Organization
TRIANGLE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJAN Z KHODADOUST DMD (OWNER/DENTIST)
(413) 549-6270
Entity
Organization
Contact information
Practice address
203 TRIANGLE ST, AMHERST, MA 01002-2161
(413) 549-6270
(413) 549-6282
Mailing address
203 TRIANGLE ST, AMHERST, MA 01002-2161
(413) 549-6270
(413) 549-6282
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
19096
MA
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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