Organization
RAMESH IZEDIAN DMD & SHOHRAM MOGHADDAM DMD PC
Active
Other names
Cosmetic Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMESH IZEDIAN DMD (OWNER)
(781) 662-1999
Entity
Organization
Contact information
Practice address
3 WOODLAND RD, STE 417, STONEHAM, MA 02180
(781) 662-1999
(781) 662-4430
Mailing address
3 WOODLAND RD, STE 417, STONEHAM, MA 02180
(781) 662-1999
(781) 662-4430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18174
MA
122300000X
Dentist
18767
MA
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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