Organization
CENTER FOR COSMETIC DENTISTRY
Active
Other names
Stetson Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
PEYMAN KHADIVI D.D.S. (DENTIST)
(781) 335-4900
Entity
Organization
Contact information
Practice address
561 MAIN ST, WEYMOUTH, MA 02190-1817
(781) 335-4900
(781) 335-6953
Mailing address
561 MAIN ST, WEYMOUTH, MA 02190-1817
(781) 335-4900
(781) 335-6953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18609
MA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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