Organization
SALOME FARZANEH D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE T DUMAS (RECEPTIONIST)
(781) 894-4424
Entity
Organization
Contact information
Practice address
212 CHARLES ST, WALTHAM, MA 02453-4206
(178) 189-4442
(781) 893-6261
Mailing address
212 CHARLES ST, WALTHAM, MA 02453-4206
(178) 189-4442
(781) 893-6261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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