Individual
DR. TALAR KILADJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3033 WASHINGTON ST, ROXBURY, MA 02119-1227
(617) 541-2200
Mailing address
543 MASSACHUSETTS AVE APT 2, BOSTON, MA 02118-1474
(781) 572-4165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859109
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2021
Last updated
08/16/2021
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