Individual
DR. JACOB ARASH POURATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD, CAGS
Contact information
Practice address
57 CONCORD AVE, BELMONT, MA 02478-4027
(617) 484-2431
Mailing address
50 LONGWOOD AVE APT 820, BROOKLINE, MA 02446-5224
(617) 240-9158
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20469
MA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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