Organization
AMIR SHAHBAZIAN, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR SHAHBAZIAN DMD PC (DENTIST)
(617) 479-7625
Entity
Organization
Contact information
Practice address
157 WASHINGTON ST, QUINCY, MA 02169-5514
(617) 479-7625
(617) 479-7610
Mailing address
157 WASHINGTON ST, QUINCY, MA 02169-5514
(617) 479-7625
(617) 479-7610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17290
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134262587
DENTIST
MA
01
—
1578685236
DENTIST
MA
Enumeration date
04/10/2007
Last updated
08/22/2020
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