Organization
ORTHODONTICS OF MELROSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSHANAK GHAZINOURI DMD (ORTHODONTIST/MANAGER)
(718) 662-7880
Entity
Organization
Contact information
Practice address
21 E EMERSON ST, MELROSE, MA 02176-3520
(781) 662-5246
(781) 662-5246
Mailing address
21 E EMERSON ST, MELROSE, MA 02176-3520
(781) 662-5246
(781) 662-5246
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17415
MA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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