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Individual

ROXANE SALEHI SADAGHIANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 MAIN ST, PEABODY, MA 01960-5779
(978) 422-1152
Mailing address
1 LEIGHTON ST UNIT 202, CAMBRIDGE, MA 02141-1862
(617) 758-9260

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN1858828
MA
1223G0001X
General Practice Dentistry
DN1858828
MA
1223P0700X
Prosthodontics
Primary
DN1858828
MA

Other

Enumeration date
10/01/2020
Last updated
03/11/2023
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