Individual
ALI MASHAYEKHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
0 GOVERNORS AVE, SUITE #23, MEDFORD, MA 02155-3025
(781) 350-5578
Mailing address
78 MAGOUN AVE, MEDFORD, MA 02155-4854
(781) 391-4352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20161
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219461
—
MA
Enumeration date
01/12/2007
Last updated
10/25/2012
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