Individual
POUYA AMIRI-HEZAVEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
530 BOSTON POST RD E, MARLBOROUGH, MA 01752-3645
(585) 481-8094
Mailing address
60 HOPE AVE APT 515, WALTHAM, MA 02453-4701
(781) 820-2173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1858463
MA
Other
Enumeration date
04/26/2018
Last updated
06/09/2020
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