Organization
JAVAD MIRZAI DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVAD MIRZAI DMD (DOCTOR/OWNER)
(617) 877-8884
Entity
Organization
Contact information
Practice address
49 CROSS STREET EXT, GARDNER, MA 01440-2209
(617) 877-5884
Mailing address
234 W MAIN ST, WESTBOROUGH, MA 01581-3823
(617) 877-5884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/27/2021
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